Healthcare Provider Details

I. General information

NPI: 1447169693
Provider Name (Legal Business Name): RAJAMAND PRIMARY CARE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3080 VISTA BLVD STE 100
SPARKS NV
89436-6705
US

IV. Provider business mailing address

PO BOX 10417
HOLYOKE MA
01041-2017
US

V. Phone/Fax

Practice location:
  • Phone: 775-541-0200
  • Fax: 775-541-0299
Mailing address:
  • Phone: 775-288-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SINA RAJAMAND
Title or Position: OWNER
Credential: DO
Phone: 775-541-0200