Provider Demographics
NPI:1336878404
Name:KRIPALANI, RACHNA D (MANAGED SERVICE COOR)
Entity Type:Individual
Prefix:MS
First Name:RACHNA
Middle Name:D
Last Name:KRIPALANI
Suffix:
Gender:F
Credentials:MANAGED SERVICE COOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6135 98TH ST APT 4F
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1479
Mailing Address - Country:US
Mailing Address - Phone:718-971-0108
Mailing Address - Fax:
Practice Address - Street 1:6135 98TH ST APT 4F
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1479
Practice Address - Country:US
Practice Address - Phone:718-971-0108
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY478967873Medicaid