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

Rajiv Supra

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1457051757

Rajiv Supra is a Student in an Organized Health Care Education/Training Program in Pittsburg, California. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

2800 Romora Bay Dr
Pittsburg, CA 94565-7921
Phone: (925) 705-0235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1457051757
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 6, 2023
Last updated in NPPESMarch 6, 2023
Certification dateMarch 6, 2023
Mailing address2800 Romora Bay Dr, Pittsburg, CA 94565-7921

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