Healthcare Provider Details

I. General information

NPI: 1891933362
Provider Name (Legal Business Name): TULSI PATEL RDHAP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/22/2009
Last Update Date: 11/25/2025
Certification Date: 11/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1734 BALSA AVE
SAN JOSE CA
95124-1859
US

IV. Provider business mailing address

1734 BALSA AVE
SAN JOSE CA
95124-1859
US

V. Phone/Fax

Practice location:
  • Phone: 408-242-0840
  • Fax:
Mailing address:
  • Phone: 408-242-0840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number231
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: