NPI 1093343972 · live from the CMS NPI Registry
Bansari Acharya, RD
Dietitian, Registered in Sterling Heights, MI. National Provider Identifier 1093343972, active.
NPI record
| NPI | 1093343972 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 40941 Nicole Dr, Sterling Heights, MI 48310 |
| Practice phone | 586-569-1997 |
| Mailing address | 19317 S Highlite Dr, Clinton Township, MI 48035 |
| Enumerated | March 27, 2020 |
| Last updated | March 27, 2020 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86063650 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.