Rajiv Supra

NPI #1457051757 in Pittsburg, California

Provider Information

NPI Number: 1457051757
Entity Type: Individual
Name: Rajiv Supra
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Mar 6, 2023
Last Updated: Mar 6, 2023

Practice Location

Address: 2800 ROMORA BAY DR
City: Pittsburg
State: California
ZIP Code: 94565-7921
Phone: (925) 705-0235

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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