Provider Demographics
NPI:1912539792
Name:SAED, REEM MONTASER (MPH, RD, LDN, IBCLC)
Entity Type:Individual
Prefix:
First Name:REEM
Middle Name:MONTASER
Last Name:SAED
Suffix:
Gender:F
Credentials:MPH, RD, LDN, IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:228 CEDAR ELM RD
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-7263
Mailing Address - Country:US
Mailing Address - Phone:704-779-8241
Mailing Address - Fax:
Practice Address - Street 1:228 CEDAR ELM RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-7263
Practice Address - Country:US
Practice Address - Phone:704-779-8241
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-02-10
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC000035751394133V00000X
NCL-301181174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered