Healthcare Provider Details

I. General information

NPI: 1801423108
Provider Name (Legal Business Name): RUBEENA DHAMI
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 04/23/2026
Certification Date: 04/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

84 W SANTA CLARA ST STE 700
SAN JOSE CA
95113-1809
US

IV. Provider business mailing address

PO BOX 360744
MILPITAS CA
95036-0744
US

V. Phone/Fax

Practice location:
  • Phone: 650-605-3602
  • Fax: 408-413-1087
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberA193551
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: