Provider Demographics
NPI:1629067822
Name:RAMAN, GEEHTA K (MS,RD)
Entity Type:Individual
Prefix:
First Name:GEEHTA
Middle Name:K
Last Name:RAMAN
Suffix:
Gender:F
Credentials:MS,RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4505 BEXLEY CIR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23455-5509
Mailing Address - Country:US
Mailing Address - Phone:757-464-0786
Mailing Address - Fax:757-456-0616
Practice Address - Street 1:700 INDEPENDENCE CIR
Practice Address - Street 2:SUITE 3D
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23455-6405
Practice Address - Country:US
Practice Address - Phone:757-473-8633
Practice Address - Fax:757-456-0616
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
691424133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered