Provider Demographics
NPI:1386022325
Name:EDEN, NEHA J (MD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:J
Last Name:EDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:NEHA
Other - Middle Name:
Other - Last Name:JAIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:392 AVENIDA ARBOLES
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95123-1407
Mailing Address - Country:US
Mailing Address - Phone:213-709-1685
Mailing Address - Fax:
Practice Address - Street 1:640 BLOSSOM HILL RD
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-4564
Practice Address - Country:US
Practice Address - Phone:408-703-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2022-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA154237207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA1386022325OtherALL OTHER
CA1386022325Medicaid