Provider Demographics
NPI:1720696206
Name:DHASON, MELANI RANJITHA
Entity Type:Individual
Prefix:
First Name:MELANI
Middle Name:RANJITHA
Last Name:DHASON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELANI
Other - Middle Name:RANJITHA
Other - Last Name:SADANALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:209 N TRENTON ST APT 1
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22203-2956
Mailing Address - Country:US
Mailing Address - Phone:909-362-2181
Mailing Address - Fax:
Practice Address - Street 1:2150 PENNSYLVANIA AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20037-3201
Practice Address - Country:US
Practice Address - Phone:202-741-2222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-21
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3371133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered