NPI 1093531790 · live from the CMS NPI Registry
Maha Mortada Abdallah, MS, RDN
Dietitian, Registered in Ada, MI. National Provider Identifier 1093531790, active.
NPI record
| NPI | 1093531790 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 7125 Headley St Se Unit 142, Ada, MI 49301 |
| Practice phone | 313-454-6487 |
| Mailing address | 1871 Tall Pines Dr Se, Grand Rapids, MI 49546 |
| Enumerated | November 26, 2024 |
| Last updated | March 25, 2026 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.