Healthcare Provider Details

I. General information

NPI: 1235828740
Provider Name (Legal Business Name): MAYANK RAMPAL
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 08/04/2026
Certification Date: 08/04/2026
Deactivation Date: 12/07/2023
Reactivation Date: 01/23/2024

III. Provider practice location address

2345 E PRATER WAY STE 207
SPARKS NV
89434-9634
US

IV. Provider business mailing address

2345 E PRATER WAY STE 207
SPARKS NV
89434-9634
US

V. Phone/Fax

Practice location:
  • Phone: 775-352-5301
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number29828
License Number StateNV
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number29828
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: