Provider Demographics
NPI:1467745604
Name:KAUR, SANDEEP (MS, RD, RYT)
Entity Type:Individual
Prefix:MRS
First Name:SANDEEP
Middle Name:
Last Name:KAUR
Suffix:
Gender:F
Credentials:MS, RD, RYT
Other - Prefix:MRS
Other - First Name:ANU
Other - Middle Name:
Other - Last Name:KAUR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, RD, RYT
Mailing Address - Street 1:23547 BENTLEY GROVE PL
Mailing Address - Street 2:
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20148-1729
Mailing Address - Country:US
Mailing Address - Phone:703-855-4351
Mailing Address - Fax:703-348-0463
Practice Address - Street 1:23547 BENTLEY GROVE PL
Practice Address - Street 2:
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20148-1729
Practice Address - Country:US
Practice Address - Phone:703-855-4351
Practice Address - Fax:703-348-0463
Is Sole Proprietor?:No
Enumeration Date:2011-05-20
Last Update Date:2019-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA00853876133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered