Provider Demographics
NPI:1740405729
Name:MALANI, CHITRA (MS, RD, CDCES)
Entity type:Individual
Prefix:
First Name:CHITRA
Middle Name:
Last Name:MALANI
Suffix:
Gender:
Credentials:MS, RD, CDCES
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:969 LA MESA TER UNIT C
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-2444
Mailing Address - Country:US
Mailing Address - Phone:408-596-3011
Mailing Address - Fax:
Practice Address - Street 1:969 LA MESA TER UNIT C
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94086-2444
Practice Address - Country:US
Practice Address - Phone:408-596-3011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA857931133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered