Basic Information
Provider Information
NPI: 1568761898
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POKHAREL
FirstName: SANDESH
MiddleName: BABU
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 111 W TELEGRAPH ST
Address2: 200
City: CARSON CITY
State: NV
PostalCode: 897034266
CountryCode: US
TelephoneNumber: 7752220044
FaxNumber:  
Practice Location
Address1: 235 W 6TH ST
Address2:  
City: RENO
State: NV
PostalCode: 895034548
CountryCode: US
TelephoneNumber: 7757706490
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/25/2011
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
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AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XE-7689ARN Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000X16288NVN Allopathic & Osteopathic PhysiciansHospitalist 
207R00000X16288NVY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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