MEDICARE: CANDICE MARIE CHALUS RDN, LDN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	DN009291	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	16814386	OTHER		CAQH

General Provider Information

NPI Number	:	1982570511
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CANDICE MARIE CHALUS RDN, LDN

Provider Business Mailing Address
First Line	:	810 CLAIRTON BLVD STE 400
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-5511
Country	:	US
Telephone Number	:	412-650-1170
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 CLAIRTON BLVD STE 400
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15236-5511
Country	:	US
Telephone Number	:	412-650-1170
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/13/2025
Last Update Date	:	06/11/2026

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