Provider Demographics
NPI:1295531788
Name:APPIAH, ANGELA SERWAAH (RDN LDN)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:SERWAAH
Last Name:APPIAH
Suffix:
Gender:
Credentials:RDN LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 DOGWOOD CT
Mailing Address - Street 2:
Mailing Address - City:CALUMET CITY
Mailing Address - State:IL
Mailing Address - Zip Code:60409-5007
Mailing Address - Country:US
Mailing Address - Phone:773-759-4501
Mailing Address - Fax:
Practice Address - Street 1:41 DOGWOOD CT
Practice Address - Street 2:
Practice Address - City:CALUMET CITY
Practice Address - State:IL
Practice Address - Zip Code:60409-5007
Practice Address - Country:US
Practice Address - Phone:773-759-4501
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-24
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL961405133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered