Individual
KIRAN AHMAD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
1061 W 16TH ST, UNIT 205, CHICAGO, IL 60608-2862
(614) 378-5110
Mailing address
1061 W 16TH ST, UNIT 205, CHICAGO, IL 60608-2862
(614) 378-5110
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
164006752
IL
Other
Enumeration date
03/11/2016
Last updated
03/11/2016
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