Provider Demographics
NPI:1275007411
Name:HAYAT, NOSHEEN (RDN)
Entity Type:Individual
Prefix:
First Name:NOSHEEN
Middle Name:
Last Name:HAYAT
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
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:240-780-2418
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
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-21
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX4518133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered