Healthcare Provider Details

I. General information

NPI: 1316867393
Provider Name (Legal Business Name): PRITISH RAJESH BUDHRANI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2973 VALLEY OF HEARTS DELIGHT PL UNIT 1
SAN JOSE CA
95136-5018
US

IV. Provider business mailing address

310 HARBOR BLVD # E
BELMONT CA
94002-4018
US

V. Phone/Fax

Practice location:
  • Phone: 408-568-0288
  • Fax:
Mailing address:
  • Phone: 800-686-0101
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: