Provider Demographics
NPI:1942215801
Name:BIENZEN, SADHANA RAMANATHAN (MS, RD, CD)
Entity Type:Individual
Prefix:MS
First Name:SADHANA
Middle Name:RAMANATHAN
Last Name:BIENZEN
Suffix:
Gender:F
Credentials:MS, RD, CD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4214 WEST CARMEL DR
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-9482
Mailing Address - Country:US
Mailing Address - Phone:414-467-7947
Mailing Address - Fax:414-423-8140
Practice Address - Street 1:4214 W CARMEL DR
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-9482
Practice Address - Country:US
Practice Address - Phone:414-467-7947
Practice Address - Fax:414-423-8140
Is Sole Proprietor?:No
Enumeration Date:2006-07-29
Last Update Date:2009-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI839004133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI839004OtherRD REGISTRATION #