Provider Demographics
NPI:1033218631
Name:CHANDAK, RITU (MD)
Entity Type:Individual
Prefix:DR
First Name:RITU
Middle Name:
Last Name:CHANDAK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:RITU
Other - Middle Name:
Other - Last Name:MAHESHWARI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:444 WASHINGTON BLVD
Mailing Address - Street 2:#4510
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07310-1901
Mailing Address - Country:US
Mailing Address - Phone:201-659-1754
Mailing Address - Fax:201-915-2520
Practice Address - Street 1:395 GRAND ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-4238
Practice Address - Country:US
Practice Address - Phone:201-915-2000
Practice Address - Fax:201-915-2520
Is Sole Proprietor?:No
Enumeration Date:2006-09-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA076775002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry