Healthcare Provider Details

I. General information

NPI: 1720918600
Provider Name (Legal Business Name): SHARANIYA RAO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

475 SPARKS BLVD STE 101
SPARKS NV
89434-9002
US

IV. Provider business mailing address

287 HARRISON AVE
CAMPBELL CA
95008-1402
US

V. Phone/Fax

Practice location:
  • Phone: 775-359-1565
  • Fax:
Mailing address:
  • Phone: 669-302-0633
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: