NPI 1467110320 · live from the CMS NPI Registry
Ghaida Awwad, RDN
Dietitian, Registered in O Fallon, MO. National Provider Identifier 1467110320, active.
NPI record
| NPI | 1467110320 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 1012 Rock Creek Elementary School Dr, O Fallon, MO 63366 |
| Practice phone | 314-736-8686 |
| Enumerated | December 7, 2021 |
| Last updated | December 7, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86051892 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.