Provider Demographics
NPI:1326463514
Name:RAMADURAI, APARNA (RD)
Entity Type:Individual
Prefix:MRS
First Name:APARNA
Middle Name:
Last Name:RAMADURAI
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 1:15904 ROCHIN CT
Mailing Address - Street 2:
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-4837
Mailing Address - Country:US
Mailing Address - Phone:408-827-5237
Mailing Address - Fax:408-912-1074
Practice Address - Street 1:1610 BLOSSOM HILL RD
Practice Address - Street 2:SUITE 6C
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-6349
Practice Address - Country:US
Practice Address - Phone:408-827-5237
Practice Address - Fax:408-912-1074
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-25
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA929777133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered