Provider Demographics
NPI:1265957641
Name:CHIDANAND, RASHMI (PHD)
Entity type:Individual
Prefix:DR
First Name:RASHMI
Middle Name:
Last Name:CHIDANAND
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 1:2260 WYANDOTTE ST APT 6
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94043-2342
Mailing Address - Country:US
Mailing Address - Phone:214-316-6393
Mailing Address - Fax:
Practice Address - Street 1:2672 BAYSHORE PKWY STE 1045
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94043-1015
Practice Address - Country:US
Practice Address - Phone:650-223-5622
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-07
Last Update Date:2017-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY28622103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist