Individual provider · NPI-1

Kiran Ahmad, RDN

Dietitian, Registered · Chicago, IL

NPI number1255792701
StatusActive
Last updated in NPPESMar 11, 2016

Details

NPI
1255792701
Entity type
Individual (NPI-1)
Name
Kiran Ahmad
Credential
RDN
Sex
Female
Sole proprietor
Yes
Enumeration date
Mar 11, 2016
Last updated
Mar 11, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered164006752ILYes

Practice location

1061 W 16th St
Unit 205
Chicago, IL 60608-2862

Phone 614-378-5110

Mailing address

1061 W 16th St
Unit 205
Chicago, IL 60608-2862

Phone 614-378-5110

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