Provider Demographics
NPI:1619146909
Name:RAWLS, TAHSEEN AKRAM (RD)
Entity Type:Individual
Prefix:MRS
First Name:TAHSEEN
Middle Name:AKRAM
Last Name:RAWLS
Suffix:
Gender:F
Credentials:RD
Other - Prefix:MS
Other - First Name:TAHSEEN
Other - Middle Name:
Other - Last Name:AKRAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4720 PARK EDEN CIR
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32810-1903
Mailing Address - Country:US
Mailing Address - Phone:407-293-8275
Mailing Address - Fax:
Practice Address - Street 1:6925 LAKE ELLENOR DR
Practice Address - Street 2:SUITE 650
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-4631
Practice Address - Country:US
Practice Address - Phone:407-852-1751
Practice Address - Fax:407-852-1748
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-21
Last Update Date:2008-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND2813133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered