Rajesh Supra
Rajesh Supra is a Student in an Organized Health Care Education/Training Program in Modesto, California. Registered with an NPI since 2023.
- In the registry since
- 2023
Practice location Address checks out
1400 Florida Ave Ste 102Modesto, CA 95350-4446
Phone: (209) 573-6181
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Specialties & licences
| Student in an Organized Health Care Education/Training Program (primary) | Taxonomy 390200000X |
|---|
Record details
| NPI number | 1083497085 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | August 15, 2023 |
| Last updated in NPPES | August 15, 2023 |
| Certification date | August 15, 2023 |
| Mailing address | 2800 Romora Bay Dr, Pittsburg, CA 94565-7921 |
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1400 Florida Ave Ste 102, Modesto, CA 95350-4446 · (209) 573-6181