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Rajiv Supra
Student in an Organized Health Care Education/Training Program in Pittsburg, California
NPI 1457051757

Rajiv Supra is a Student in an Organized Health Care Education/Training Program based in Pittsburg, CA. Rajiv Supra practices in Pittsburg, CA. The NPI Number for Rajiv Supra is 1457051757 and holds a License No. (California).

The current practice location address for Rajiv Supra is 2800 Romora Bay Dr, Pittsburg, CA and can be reached out via phone at 925-705-0235.

Location: 2800 Romora Bay Dr, Pittsburg, CA, 94565-7921
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457051757
Provider Name
Rajiv Supra
Credential
Provider Entity Type
Individual
Gender
Male
Address
2800 Romora Bay Dr, Pittsburg, CA, 94565-7921
Phone Number
925-705-0235
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2800 Romora Bay Dr
City
Pittsburg
State
California
Zip
94565-7921
Phone Number
925-705-0235
Fax Number
person
Provider Business Mailing Address Details
Address
2800 Romora Bay Dr
City
Pittsburg
State
California
Zip
94565-7921
Phone Number
925-705-0235
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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