NPI 1255792701 · live from the CMS NPI Registry
Kiran Ahmad, RDN
Dietitian, Registered in Chicago, IL. National Provider Identifier 1255792701, active.
NPI record
| NPI | 1255792701 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1061 W 16th St, Unit 205, Chicago, IL 60608 |
| Practice phone | 614-378-5110 |
| Enumerated | March 11, 2016 |
| Last updated | March 11, 2016 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 164006752 (IL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.