Provider Demographics
NPI:1265740617
Name:THINDA, KARAN SANDHU (PHD)
Entity type:Individual
Prefix:DR
First Name:KARAN
Middle Name:SANDHU
Last Name:THINDA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:KARAN
Other - Middle Name:KAUR
Other - Last Name:SANDHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 731253
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95173-1253
Mailing Address - Country:US
Mailing Address - Phone:408-728-8476
Mailing Address - Fax:510-371-9608
Practice Address - Street 1:1172 MURPHY AVE
Practice Address - Street 2:SUITE 201
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95131-2429
Practice Address - Country:US
Practice Address - Phone:408-728-8476
Practice Address - Fax:510-371-9608
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2015-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY26699103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist