Provider Demographics
NPI:1639810997
Name:BHATIA, PARVEEN KAUR (NP)
Entity Type:Individual
Prefix:
First Name:PARVEEN
Middle Name:KAUR
Last Name:BHATIA
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15425 LOS GATOS BLVD STE 120
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-2541
Mailing Address - Country:US
Mailing Address - Phone:408-340-5700
Mailing Address - Fax:408-358-3430
Practice Address - Street 1:15425 LOS GATOS BLVD STE 120
Practice Address - Street 2:
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-2541
Practice Address - Country:US
Practice Address - Phone:408-340-5700
Practice Address - Fax:408-358-3430
Is Sole Proprietor?:No
Enumeration Date:2022-04-02
Last Update Date:2023-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95020093363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner