Provider Demographics
NPI:1679706329
Name:EMELUE, CHARMAGNE KIM (MS, RD, LD)
Entity Type:Individual
Prefix:MRS
First Name:CHARMAGNE
Middle Name:KIM
Last Name:EMELUE
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:CHARMAGNE
Other - Middle Name:KIM
Other - Last Name:ORIAHI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2346 PLANTATION BEND DR
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77478-4484
Mailing Address - Country:US
Mailing Address - Phone:281-813-7269
Mailing Address - Fax:
Practice Address - Street 1:2346 PLANTATION BEND DR
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77478-4484
Practice Address - Country:US
Practice Address - Phone:281-813-7269
Practice Address - Fax:281-565-5933
Is Sole Proprietor?:No
Enumeration Date:2009-08-28
Last Update Date:2023-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80860133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered