Rachakonda, Tara Dayananda

Rachakonda, Tara Dayananda is an individual health care provider with primary practice located at 5701 W Charleston Blvd Ste 105 , Las Vegas NV 89146-1256. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Sleep Medicine is her primary health care specialty. Rachakonda, Tara Dayananda can be contacted via phone (702) 877-9514.

Contact Information

Primary practice address
5701 W Charleston Blvd Ste 105 Las Vegas NV 89146-1256
Phone: (702) 877-9514
Fax: (702) 212-3569
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X A126245 California
Allopathic & Osteopathic Physicians / Sleep Medicine 207RS0012X 18066 Nevada

Profile Details

NPI number 1508093345
LBN Legal business name Rachakonda, Tara Dayananda
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2009
Last updated Nov 5th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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