Provider Demographics
NPI:1154215002
Name:RAI, SOVITA
Entity type:Individual
Prefix:
First Name:SOVITA
Middle Name:
Last Name:RAI
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 1:13950 POTTER PKWY
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68142-2119
Mailing Address - Country:US
Mailing Address - Phone:402-906-2008
Mailing Address - Fax:
Practice Address - Street 1:12821 GLENVALE PLZ LOT 178
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68164-1952
Practice Address - Country:US
Practice Address - Phone:402-906-2008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-05
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes372500000XNursing Service Related ProvidersChore Provider