Provider Demographics
NPI:1366051997
Name:BORKAR, UMA (RD)
Entity type:Individual
Prefix:
First Name:UMA
Middle Name:
Last Name:BORKAR
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 1:4425 OJO CALIENTE CIR
Mailing Address - Street 2:
Mailing Address - City:LAS CRUCES
Mailing Address - State:NM
Mailing Address - Zip Code:88011-4303
Mailing Address - Country:US
Mailing Address - Phone:432-230-9748
Mailing Address - Fax:
Practice Address - Street 1:4425 OJO CALIENTE CIR
Practice Address - Street 2:
Practice Address - City:LAS CRUCES
Practice Address - State:NM
Practice Address - Zip Code:88011-4303
Practice Address - Country:US
Practice Address - Phone:432-230-9748
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered