Provider Demographics
NPI:1437581287
Name:KHAPRE, MINAL NITIN (RD)
Entity Type:Individual
Prefix:MRS
First Name:MINAL
Middle Name:NITIN
Last Name:KHAPRE
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 1:87 WEBB ST
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08820-1017
Mailing Address - Country:US
Mailing Address - Phone:732-318-9292
Mailing Address - Fax:
Practice Address - Street 1:74 HAWTHORN DR
Practice Address - Street 2:
Practice Address - City:EDISON
Practice Address - State:NJ
Practice Address - Zip Code:08820-1458
Practice Address - Country:US
Practice Address - Phone:732-318-9292
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-04
Last Update Date:2015-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered