Individual
SHRADDHA CHAUBEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,RD,CD
Contact information
Practice address
3367 BOONE ST, WEST LAFAYETTE, IN 47906-1283
(765) 491-6700
Mailing address
3367 BOONE ST, WEST LAFAYETTE, IN 47906-1283
(765) 491-6700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
37001806A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609195361
TYPE 2 NPI
IN
Enumeration date
03/22/2011
Last updated
03/22/2011
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