Provider Demographics
NPI:1083311955
Name:HAYAT NUTRITION & WELLNESS, LLC
Entity Type:Organization
Organization Name:HAYAT NUTRITION & WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RD
Authorized Official - Prefix:
Authorized Official - First Name:NOSHEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-205-2053
Mailing Address - Street 1:205 ROLLING RD
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20877-2041
Mailing Address - Country:US
Mailing Address - Phone:240-205-2053
Mailing Address - Fax:240-782-6011
Practice Address - Street 1:12 S SUMMIT AVE STE 100-M16
Practice Address - Street 2:
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20877-2089
Practice Address - Country:US
Practice Address - Phone:240-780-2418
Practice Address - Fax:240-782-6011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-10
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty