Provider Demographics
NPI:1275763054
Name:ASSUE, MEILING (RD)
Entity Type:Individual
Prefix:MS
First Name:MEILING
Middle Name:
Last Name:ASSUE
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 42ND AVE
Mailing Address - Street 2:APT 302
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20781-1628
Mailing Address - Country:US
Mailing Address - Phone:202-280-7523
Mailing Address - Fax:202-315-0423
Practice Address - Street 1:7525 GREENWAY CENTER DR
Practice Address - Street 2:STE 212
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3525
Practice Address - Country:US
Practice Address - Phone:202-280-7523
Practice Address - Fax:202-315-0423
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-15
Last Update Date:2019-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC053263400Medicaid