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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: August 09, 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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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAMERON PEREZ DO
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
ELAINE H WONG MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
VENUS SHABGAHI MD
Family Medicine
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
MR. ALEXIS PAUL ISAEV DO
Clinic/Center (Research)
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6181
TAJINDER SINGH DO
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (209) 573-6147
PETER VIET-QUOC MAI MD
Student in an Organized Health Care Education/Training Program
1400 FLORIDA AVE STE 102
MODESTO, CA 95350
Stanislaus County (714) 623-4459
CARMEN CASTILLO 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

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rajesh Supra's NPI number?

The NPI number for Rajesh Supra is 1083497085. It was assigned to this individual provider in the NPPES registry on August 15, 2023.

Where is Rajesh Supra located?

Rajesh Supra practices at 1400 Florida Ave Ste 102, Modesto, CA 95350. The listed phone number is (209) 573-6181.

What is Rajesh Supra's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Rajesh Supra was last updated on August 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.