Provider Demographics
NPI:1164018883
Name:BHARAT, VIDYA (PHD)
Entity Type:Individual
Prefix:DR
First Name:VIDYA
Middle Name:
Last Name:BHARAT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47892 AVALON HEIGHTS TER
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-8097
Mailing Address - Country:US
Mailing Address - Phone:408-838-5434
Mailing Address - Fax:
Practice Address - Street 1:47892 AVALON HEIGHTS TER
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-8097
Practice Address - Country:US
Practice Address - Phone:408-838-5434
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-16
Last Update Date:2020-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist