NPI 1902422751 · live from the CMS NPI Registry
Dhaara Antani, RDN, MPH
Dietitian, Registered in Detroit, MI. National Provider Identifier 1902422751, active.
NPI record
| NPI | 1902422751 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dietitian, Registered 133V00000X |
| Practice location | 5555 Conner St, Detroit, MI 48213 |
| Practice phone | 313-344-4100 |
| Mailing address | 1468 Prestbury Ct, Canton, MI 48187 |
| Enumerated | June 17, 2020 |
| Last updated | June 17, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dietitian, Registered primary | 133V00000X | 86119679 (MI) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.