Individual
MRS. ANURADHA RAGHUPATHI MANTHRIPRAGADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN, CNSC
Contact information
Practice address
2051 MARENGO ST, ROOM 1H212, LOS ANGELES, CA 90033-1352
(323) 409-6979
Mailing address
2051 MARENGO ST, ROOM 1H 212, LOS ANGELES, CA 90033-1352
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
L001281
NC
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
813060
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1891010575
NPI #
NC
Enumeration date
04/06/2010
Last updated
02/05/2015
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