Krupa Mathew Chackalackal

Registered Dietitian Or Nutrition Professional

Avondale, AZ 85392

Female - 3 Yrs Experience - English

Location

10750 W Mcdowell Rd
Suite A300

Avondale, AZ 85392

Phone number

(623) 399-6825

Summary

Krupa Mathew Chackalackal is a Registered Dietitian Or Nutrition Professional located at Avondale, AZ 85392 and is affiliated with Hospitals. She received her medical degree from Other and has been in practice for more than 3 years.

Professional Identification

  1. NPI#: 1154993533
  2. PAC ID: 1456754746
  3. Clinician Enrollment ID: I20210723002201
  4. Gender: Female
  5. Enumeration: July 14 2021
  6. Last Updated: July 14 2021

Medical Credentials

  1. Credential: Undefined
  2. Medical school: Other
  3. Graduation year: 2019
  4. Taxonomy: 133V00000X
  5. Specialty: Registered Dietitian Or Nutrition Professional
  6. All specialties: Registered Dietitian Or Nutrition Professional

Medical Practice

  1. Organization: Am Nutrition Services
  2. Group PAC ID: 1254430580
  3. Number of Group Members: 24

Medicare Assignment

  1. Clinician accepts Medicare Assignment: Y
  2. Group accepts Medicare Assignment: Y

Locations

  1. 10750 W Mcdowell Rd, Avondale AZ 85392 (623) 399-6825

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