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Dr. Tara Dayananda Rachakonda, M.D.

Internal Medicine, Sleep Medicine in Las Vegas, NV. Individual provider (NPI-1).

NPI number1508093345
StatusActive
Last updated in NPPESNov 5, 2020

Details

NPI
1508093345
Entity type
Individual (NPI-1)
Name
Dr. Tara Dayananda Rachakonda
Credential
M.D.
Sex
Female
Sole proprietor
No
Enumeration date
Jun 19, 2009
Certification date
Nov 5, 2020
Last updated
Nov 5, 2020

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - SLEEP MEDICINE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207RS0012X Internal Medicine, Sleep Medicine18066NVYes
207N00000X DermatologyA126245CA

Practice location

5701 W Charleston Blvd Ste 105
Las Vegas, NV 89146-1256

Phone 702-877-9514 · Fax 702-212-3569

Mailing address

5701 W Charleston Blvd Ste 100
Las Vegas, NV 89146-1256

Phone 702-877-9514 · Fax 702-212-3569

Other practice locations

3301 C St
Suite 1400
Sacramento, CA 95816-3300

Phone 916-734-1512 · Fax 916-442-5702

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Sleep Medicine (Internal Medicine) Physician providers in Las Vegas, NV

All 11 Sleep Medicine (Internal Medicine) Physician providers in Las Vegas · All 80,918 providers in Las Vegas

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