Healthcare Provider Details

I. General information

NPI: 1932580925
Provider Name (Legal Business Name): ASHHAR BHURGRI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/15/2015
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2316 ORCHARD PKWY STE 210
TRACY CA
95377-7324
US

IV. Provider business mailing address

2316 ORCHARD PKWY STE 210
TRACY CA
95377-7324
US

V. Phone/Fax

Practice location:
  • Phone: 209-444-2539
  • Fax: 209-651-4015
Mailing address:
  • Phone: 209-444-2539
  • Fax: 209-651-4015

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberA159297
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: