Provider Demographics
NPI:1871771675
Name:ANAND, SHUBHA LAXMI (RD)
Entity type:Individual
Prefix:MRS
First Name:SHUBHA
Middle Name:LAXMI
Last Name:ANAND
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3058 OAKCREST DR
Mailing Address - Street 2:
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-2463
Mailing Address - Country:US
Mailing Address - Phone:909-393-7479
Mailing Address - Fax:
Practice Address - Street 1:3058 OAKCREST DR
Practice Address - Street 2:
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-2463
Practice Address - Country:US
Practice Address - Phone:909-393-7479
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-04
Last Update Date:2008-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered