Individual
DR. TARA DAYANANDA RACHAKONDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5701 W CHARLESTON BLVD STE 105, LAS VEGAS, NV 89146-1256
(702) 877-9514
(702) 212-3569
Mailing address
5701 W CHARLESTON BLVD STE 100, LAS VEGAS, NV 89146-1256
(702) 877-9514
(702) 212-3569
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
A126245
CA
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
18066
NV
Other
Enumeration date
06/19/2009
Last updated
11/05/2020
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