Provider Demographics
NPI:1356030456
Name:RANPURA, RICHA
Entity type:Individual
Prefix:
First Name:RICHA
Middle Name:
Last Name:RANPURA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 FORD LN
Mailing Address - Street 2:
Mailing Address - City:BARTLETT
Mailing Address - State:IL
Mailing Address - Zip Code:60103-4086
Mailing Address - Country:US
Mailing Address - Phone:847-494-3130
Mailing Address - Fax:
Practice Address - Street 1:315 FORD LN
Practice Address - Street 2:
Practice Address - City:BARTLETT
Practice Address - State:IL
Practice Address - Zip Code:60103-4086
Practice Address - Country:US
Practice Address - Phone:847-494-3130
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-04
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program