Provider Demographics
NPI:1861294563
Name:RAJEEV, NITHYA DEEPALI
Entity type:Individual
Prefix:DR
First Name:NITHYA
Middle Name:DEEPALI
Last Name:RAJEEV
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:HARBOR-UCLA MEDICAL CENTER
Mailing Address - Street 2:1000 WEST CARSON STREET
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90502
Mailing Address - Country:US
Mailing Address - Phone:424-306-8070
Mailing Address - Fax:310-533-1841
Practice Address - Street 1:HARBOR-UCLA MEDICAL CENTER
Practice Address - Street 2:1000 WEST CARSON STREET
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90502
Practice Address - Country:US
Practice Address - Phone:424-306-8070
Practice Address - Fax:310-533-1841
Is Sole Proprietor?:No
Enumeration Date:2025-03-25
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program