Provider Demographics
NPI:1437982923
Name:NUTRITION BY KRUPA LLC
Entity type:Organization
Organization Name:NUTRITION BY KRUPA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN NUTRITIONIST
Authorized Official - Prefix:
Authorized Official - First Name:KRUPA
Authorized Official - Middle Name:
Authorized Official - Last Name:PAREKH
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:860-637-9443
Mailing Address - Street 1:5 THE HAMLET APT B
Mailing Address - Street 2:
Mailing Address - City:ENFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06082-7006
Mailing Address - Country:US
Mailing Address - Phone:860-637-9443
Mailing Address - Fax:
Practice Address - Street 1:5 THE HAMLET APT B
Practice Address - Street 2:
Practice Address - City:ENFIELD
Practice Address - State:CT
Practice Address - Zip Code:06082-7006
Practice Address - Country:US
Practice Address - Phone:860-637-9443
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-21
Last Update Date:2024-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1629850441Medicaid