MEDICARE: BATTLE BORN BRAIN AND SPINE PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207T00000X	Neurological Surgery Physician

General Provider Information

NPI Number	:	1871191361
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BATTLE BORN BRAIN AND SPINE PLLC

Provider Business Mailing Address
First Line	:	59 DAMONTE RANCH PKWY STE B377
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89521-1907
Country	:	US
Telephone Number	:	775-227-2720
Fax Number	:	775-204-2820

Provider Business Practice Location Address
First Line	:	1525 VISTA LN STE 100
Second Line	:
City	:	CARSON CITY
State	:	NV
Zip	:	89703-4633
Country	:	US
Telephone Number	:	775-227-2720
Fax Number	:	775-204-2820

Authorized Official
Title or Position	:	OWNER
Name	:	SINA RAJAMAND
Credential	:	DO
Telephone Number	:	775-227-2720

Provider Enumeration Date	:	10/15/2020
Last Update Date	:	12/29/2021

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