Individual
MS. VILASAVATHI VENKATACHALAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
2132 DESERT PEAK RD, LAS VEGAS, NV 89134-0124
(908) 358-3908
Mailing address
2132 DESERT PEAK RD, LAS VEGAS, NV 89134-0124
(908) 358-3908
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
881134
NJ
133V00000X
Registered Dietitian
Primary
881134
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39117-DI-1
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NV
01
—
60234936
WASHINGTON STATE DEPARTMENT OF HEALTH/DIETITIAN CERTIFICATION
WA
01
—
881134
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
10/08/2009
Last updated
10/29/2020
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