Provider Demographics
NPI:1013602325
Name:SAPKOTA, TIKA RAM
Entity Type:Individual
Prefix:
First Name:TIKA
Middle Name:RAM
Last Name:SAPKOTA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:603 W BRUCETON RD
Mailing Address - Street 2:
Mailing Address - City:JEFFERSON HILLS
Mailing Address - State:PA
Mailing Address - Zip Code:15025-5242
Mailing Address - Country:US
Mailing Address - Phone:844-369-1212
Mailing Address - Fax:
Practice Address - Street 1:603 W BRUCETON RD
Practice Address - Street 2:
Practice Address - City:JEFFERSON HILLS
Practice Address - State:PA
Practice Address - Zip Code:15025-5242
Practice Address - Country:US
Practice Address - Phone:844-369-1212
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA556336012278H0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2278H0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, CertifiedHome Health