Provider Demographics
NPI:1497506729
Name:DASILVA, CHRISTINA ALEXANDRA (RDN, LDN)
Entity Type:Individual
Prefix:MS
First Name:CHRISTINA
Middle Name:ALEXANDRA
Last Name:DASILVA
Suffix:
Gender:F
Credentials:RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:402 N MERIDIAN ST APT 106
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46204-1792
Mailing Address - Country:US
Mailing Address - Phone:203-501-6296
Mailing Address - Fax:
Practice Address - Street 1:575 RILEY HOSPITAL DR RM XE070
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-5204
Practice Address - Country:US
Practice Address - Phone:463-230-4496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-27
Last Update Date:2024-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN37003978A133VN1004X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1004XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Pediatric