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RAJESH SUPRA
NPI 1083497085
Student in an Organized Health Care Education/Training Program in Modesto, CA

Active since August 15, 2023
1400 FLORIDA AVE STE 102, MODESTO, CA 95350(209) 573-6181 Get Directions Write a Review

NPPES record last updated: August 15, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Rajesh Supra NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RAJESH SUPRA (NPI 1083497085) is an individual student in an organized health care education/training program in Modesto, California and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1083497085
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameRAJESH SUPRA
Location Address1400 FLORIDA AVE STE 102Modesto, CA 95350-4446
Mailing Address2800 Romora Bay DrPittsburg, CA 94565-7921 · (925) 705-0203
Phone(209) 573-6181
Sole ProprietorNo
Enumeration DateAugust 15, 2023
NPPES CertifiedAugust 15, 2023
✔ NPI 1083497085 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
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.

1400 FLORIDA AVE STE 102, Modesto, CA 95350
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Reviews for RAJESH SUPRA

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

DR. JEFFREY JETT DO
Orthopaedic Surgery
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 576-3526
JUSTIN HARRINGTON
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (951) 553-5648
KIRANPREET DHALIWAL DO
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6180
DR. HOWARD KENT LO MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6180
CARMEN CASTILLO MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
RYAN CARD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6183
CAMERON PEREZ DO
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
THOMAS ANTHONY DEGUZMAN DO
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
DUNCAN JAMES JACOBSON DO
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 576-3528
ASHWIN ARAVINTHAN BALAGURU
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
DR. ABEDA FARHATI MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
ELAINE H WONG MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
SARAH BAKTVAR
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
DR. TANAPONG JAMES SHUGAN MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
DR. AMRITA MANGLESH DESAI MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
MEGHA BHUSHAN KALAWAR MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
DR. JOHN A. WILLIAMS II MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (714) 679-7036
DR. NAVTEJ SUNNY SINGH MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6180
AHMAD HAROON MUSLEH MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 949-0230
DR. ERIC NEAL PENDERGRASS JR. DO. LPN
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6180

Frequently Asked Questions

What is Rajesh Supra's NPI number?

The NPI number assigned to this healthcare provider is 1083497085, enumerated as an "individual" on August 15, 2023.

Where is the provider located?

The provider is located at 1400 FLORIDA AVE STE 102 MODESTO, CA 95350 and the phone number is (209) 573-6181.

What is the provider's specialty?

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.