Basic Information
Provider Information
NPI: 1497029433
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HAMMAMI
FirstName: RANA
MiddleName: Y
NamePrefix:  
NameSuffix:  
Credential: RD,LD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7200 CAMBRIDGE ST
Address2:  
City: HOUSTON
State: TX
PostalCode: 770304202
CountryCode: US
TelephoneNumber: 7137982400
FaxNumber:  
Practice Location
Address1: 12846 WESTLEDGE LN
Address2:  
City: SAINT LOUIS
State: MO
PostalCode: 631312249
CountryCode: US
TelephoneNumber: 3149650981
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/07/2012
LastUpdateDate: 10/12/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/12/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
133V00000X2001023587MON Dietary & Nutritional Service ProvidersDietitian, Registered 
133V00000XDT83792TXY Dietary & Nutritional Service ProvidersDietitian, Registered 

No ID Information.


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