Provider Demographics
NPI:1376398982
Name:DHARNIPRAGADA, RAJIV SAI (MD)
Entity type:Individual
Prefix:
First Name:RAJIV
Middle Name:SAI
Last Name:DHARNIPRAGADA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:727 ASTER RD
Mailing Address - Street 2:
Mailing Address - City:MEDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55340-4301
Mailing Address - Country:US
Mailing Address - Phone:763-360-4385
Mailing Address - Fax:
Practice Address - Street 1:6431 FANNIN ST STE JJL 310
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030-1501
Practice Address - Country:US
Practice Address - Phone:763-360-4385
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-18
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program