Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TARA DAYANANDA RACHAKONDA, M.D.
ActiveDR. TARA DAYANANDA RACHAKONDA, M.D. is a Sports Medicine (IM) healthcare provider located in LAS VEGAS, Nevada. NPI 1508093345 is currently active in the NPPES registry. Verify at CMS.
Sports Medicine (IM) · LAS VEGAS, NV
Registration Details
- NPI Number
- 1508093345
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 19, 2009 (17.183021872129 yrs)
- Last Updated
- Nov 5, 2020
- Licenses
-
A126245 (CA)18066 (NV)
Practice Information
- Address
-
5701 W CHARLESTON BLVD STE 105LAS VEGAS, NV, 891461256Browse NV providers · Browse ZIP 89146
- Phone
- 7028779514
- Fax
- 7022123569
- Primary Specialty
-
Sports Medicine (IM)
207RS0012X
- Additional Specialty
- Sports Medicine (IM)
Other Sports Medicine (IM) Providers in LAS VEGAS, NV
| Name | Credential | NPI |
|---|---|---|
| DR. CLIFFORD JOEL MOLIN | MD | 1194707547 |
| MOHAMED SHAMIYA | MD | 1467731505 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.