Individual
MS. YAQUTULLAH IBRAHEEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
4071 CODEL ST SW, ATLANTA, GA 30331-4355
(404) 454-7356
Mailing address
2670 MIRIAM LN, DECATUR, GA 30032-5731
(404) 454-7356
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
003181
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346472834
NPI
GA
Enumeration date
08/17/2009
Last updated
12/19/2018
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us