Provider Demographics
NPI:1295503316
Name:IGHWAIR, RANIA (RD)
Entity type:Individual
Prefix:
First Name:RANIA
Middle Name:
Last Name:IGHWAIR
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2625 TRAILWOOD HILLS DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27603-5984
Mailing Address - Country:US
Mailing Address - Phone:919-622-7846
Mailing Address - Fax:
Practice Address - Street 1:2625 TRAILWOOD HILLS DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27603-5984
Practice Address - Country:US
Practice Address - Phone:919-622-7846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL007598133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered