Doctor Name: | CHANDRA BALUSU |
NPI Number: | 1689837387 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | NY004674-1 |
Business Practice Address: | 1938 Route 6 Carmel, NY - 105122311 |
Business Phone Number: | 8452255650 |
Business Fax Number: | |
Mailing Address: | 6 Colonial Dr, POUGHKEEPSIE |
State: | NY |
Postal Code: | 126033770 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/03/2008 |
NPI Last Update Date: | 07/03/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | NY004674-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |