Provider Demographics
NPI:1356180285
Name:PARTHASARATHY, MEGHA (RD)
Entity type:Individual
Prefix:
First Name:MEGHA
Middle Name:
Last Name:PARTHASARATHY
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 1:3819 E JOPPA RD APT B1
Mailing Address - Street 2:
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-2372
Mailing Address - Country:US
Mailing Address - Phone:302-690-5765
Mailing Address - Fax:
Practice Address - Street 1:3819 E JOPPA RD APT B1
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-2372
Practice Address - Country:US
Practice Address - Phone:302-690-5765
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX6062133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered