Provider Demographics
NPI:1265729750
Name:BHATT, RUJVI (DDS)
Entity type:Individual
Prefix:DR
First Name:RUJVI
Middle Name:
Last Name:BHATT
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:DR
Other - First Name:RUJVI
Other - Middle Name:
Other - Last Name:SOPARKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DDS
Mailing Address - Street 1:702 JENNY ST
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95138-1369
Mailing Address - Country:US
Mailing Address - Phone:858-750-9005
Mailing Address - Fax:
Practice Address - Street 1:545 SARATOGA AVE STE B
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-5672
Practice Address - Country:US
Practice Address - Phone:408-247-5442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-05
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60448122300000X, 1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
No122300000XDental ProvidersDentist