Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT-2605 | NV |
NPI | 1285231001 |
---|---|
Provider Name | Rahul Prashant Sharma |
First Address | West Sacramento, CA 95691-6106 |
Second Address | Las Vegas, NV 89110-5387 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2020 |
Last Update Date | 05/10/2020 |