Provider Demographics
NPI:1710233630
Name:ALLADI, KALYANI (RD, LD, CDE, CNSC)
Entity Type:Individual
Prefix:MS
First Name:KALYANI
Middle Name:
Last Name:ALLADI
Suffix:
Gender:F
Credentials:RD, LD, CDE, CNSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15173 REGAL OAK LN
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75035-6444
Mailing Address - Country:US
Mailing Address - Phone:469-371-0969
Mailing Address - Fax:
Practice Address - Street 1:15173 REGAL OAK LN
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-6444
Practice Address - Country:US
Practice Address - Phone:469-371-0969
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-07-29
Last Update Date:2014-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT03761133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic