Provider Demographics
NPI:1346842119
Name:BHATTI, KEERAT SIDHU (MA, MPHIL, MSC)
Entity type:Individual
Prefix:MRS
First Name:KEERAT
Middle Name:SIDHU
Last Name:BHATTI
Suffix:
Gender:F
Credentials:MA, MPHIL, MSC
Other - Prefix:MRS
Other - First Name:KEERAT
Other - Middle Name:
Other - Last Name:SIDHU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, MPHIL
Mailing Address - Street 1:2400 MOORPARK AVE., SUITE 300
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128
Mailing Address - Country:US
Mailing Address - Phone:415-762-3700
Mailing Address - Fax:415-554-0159
Practice Address - Street 1:2400 MOORPARK AVE., SUITE 300
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-975-2730
Practice Address - Fax:415-554-0159
Is Sole Proprietor?:No
Enumeration Date:2020-11-16
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program