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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MRS. CHITHKALA RAVISHANKAR, MS RD CDE

Active Sole Proprietor

MRS. CHITHKALA RAVISHANKAR, MS RD CDE is a Metabolic Nutrition healthcare provider located in GLEN HEAD, New York. NPI 1144315870 is currently active in the NPPES registry. Verify at CMS.

Metabolic Nutrition · GLEN HEAD, NY

Registration Details

NPI Number
1144315870
Provider Type
Individual
Gender
Female
NPI Issued
Oct 4, 2006 (19.901176930018 yrs)
Last Updated
May 24, 2015
License
004375 (NY)
Sole Proprietor
Yes

Practice Information

Address
997 GLEN COVE AVE
GLEN HEAD, NY, 115451593
Browse NY providers · Browse ZIP 11545
Phone
5166749144
Fax
5166744024
Primary Specialty
Metabolic Nutrition
133VN1006X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.