Provider Demographics
NPI:1134280787
Name:CHHABRA, RANJNA (RD)
Entity Type:Individual
Prefix:
First Name:RANJNA
Middle Name:
Last Name:CHHABRA
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3429 83RD ST
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-3054
Mailing Address - Country:US
Mailing Address - Phone:718-424-4548
Mailing Address - Fax:718-424-1322
Practice Address - Street 1:3429 83RD ST
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-3054
Practice Address - Country:US
Practice Address - Phone:718-424-4548
Practice Address - Fax:718-424-1322
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003163133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2037493OtherCIGNA
NY182159OtherELDERPLAN
NYP3460561OtherOXFORD
NY2037493OtherCIGNA
NYP3460561OtherOXFORD