Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Amritha Raghunath Minisandram, DMD

Individual provider Dentist · NPI 1164054235

Dr. Amritha Raghunath Minisandram, DMD is a Dentist in San Jose, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

7058 Heartland Way
San Jose, CA 95135-2234
Phone: (408) 431-2471
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 104478 (CA)

Record details

NPI number1164054235
Entity typeIndividual (Type 1)
GenderFemale
Credentials DMD
Sole proprietorYes
NPI enumeratedFebruary 6, 2020
Last updated in NPPESFebruary 6, 2020
Certification dateFebruary 6, 2020

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