Rajiv Supra is a student in an organized health care education training program in Pittsburg, CA. The provider is 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. Rajiv Supra NPI is 1457051757. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
The provider's business location address is:
2800 ROMORA BAY DR
PITTSBURG, CA
ZIP 94565-921
Phone: (925) 705-0235
The enumeration date for this NPI number is 3/6/2023 and was last updated on 3/6/2023.