Healthcare Provider Details

I. General information

NPI: 1831018662
Provider Name (Legal Business Name): RUBEENA K DHAMI, MD, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
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

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

V. Phone/Fax

Practice location:
  • Phone: 650-605-3602
  • Fax:
Mailing address:
  • Phone: 650-605-3602
  • Fax: 650-942-0719

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207QB0002X
TaxonomyObesity Medicine (Family Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: RUBEENA DHAMI
Title or Position: OWNER
Credential: MD
Phone: 650-605-3602