Provider Demographics
NPI:1376906016
Name:KADOUH, HODA (PHD, RD)
Entity Type:Individual
Prefix:DR
First Name:HODA
Middle Name:
Last Name:KADOUH
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MAYO CLINIC
Mailing Address - Street 2:200 FIRST ST. SW, CHARLTON 8-110
Mailing Address - City:ROCHESTER
Mailing Address - State:MN
Mailing Address - Zip Code:55905-0001
Mailing Address - Country:US
Mailing Address - Phone:507-293-2697
Mailing Address - Fax:
Practice Address - Street 1:MAYO CLINIC
Practice Address - Street 2:200 FIRST ST. SW, CHARLTON 8-110
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55905-0001
Practice Address - Country:US
Practice Address - Phone:507-293-2697
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-31
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI1013453133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered