Individual provider · Type 1 NPI

Rajiv Supra

Student in an Organized Health Care Education/Training Program · Pittsburg, CA

NPI number 1457051757 Active

Practice location

2800 Romora Bay Dr
Pittsburg, CA 94565-7921

Call (925) 705-0235 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: 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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About NPI 1457051757

Rajiv Supra's National Provider Identifier is 1457051757, issued on Mar 6, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Pittsburg, CA. The record was last updated on Mar 6, 2023.