Provider Demographics
NPI:1316210115
Name:PENG, TAMMY (RD)
Entity Type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:PENG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:TAMMY
Other - Middle Name:
Other - Last Name:YUEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RD
Mailing Address - Street 1:2440 M ST NW STE 417
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20037-1476
Mailing Address - Country:US
Mailing Address - Phone:202-570-5151
Mailing Address - Fax:202-446-2946
Practice Address - Street 1:2440 M ST NW STE 417
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-1476
Practice Address - Country:US
Practice Address - Phone:202-570-5151
Practice Address - Fax:202-446-2946
Is Sole Proprietor?:No
Enumeration Date:2012-02-10
Last Update Date:2012-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered