Provider Demographics
NPI:1700234564
Name:GHANI, ASMA (RD)
Entity Type:Individual
Prefix:
First Name:ASMA
Middle Name:
Last Name:GHANI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:USSMA
Other - Middle Name:
Other - Last Name:GHANI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:1960 N PARKWAY APT 706
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38112-5054
Mailing Address - Country:US
Mailing Address - Phone:901-286-5231
Mailing Address - Fax:901-472-7423
Practice Address - Street 1:1331 UNION AVE STE 1004
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38104-7567
Practice Address - Country:US
Practice Address - Phone:901-286-5231
Practice Address - Fax:901-472-7423
Is Sole Proprietor?:No
Enumeration Date:2016-06-01
Last Update Date:2021-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2925133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered