MITA SHAH BHAGAT


Address: 13175 Fox Hunt Ln, 163, Herndon, VA 20171-5389
Phone: 9089223743

MITA SHAH BHAGAT (NPI# 1063819951) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063819951
Entity Type Individual
Full Name MITA SHAH BHAGAT
Practice Address 13175 Fox Hunt Ln
163
Herndon
VA 20171-5389
Practice Telephone 9089223743
Mailing Telephone 9089223743
Enumeration Date 2014-11-20
Last Update Date 2014-11-20
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 133NN1002X Nutritionist
Specialization: Nutrition, Education
Dietary & Nutritional Service Providers

Office Location

Street Address 13175 FOX HUNT LN
163
City HERNDON
State VA
Zip Code 20171-5389

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Taxonomy Information

Taxonomy Code 133NN1002X
Grouping Dietary & Nutritional Service Providers
Classification Nutritionist
Specialization Nutrition, Education

Taxonomy Definition

Definition to come...

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1174081228 Tamara Hoerner Nutritionist 8763 Cold Plain Ct, Springfield, VA 22153-2424 2019-03-07
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1205337102 Angela Tavolacci Nutritionist 5914 Westchester St, Alexandria, VA 22310-1139 2018-02-26
1134646029 Alice M Freeman Nutritionist 705 Twinridge Ln Ste 6, North Chesterfield, VA 23235-5270 2017-08-23
1093175663 Firstcare Flu & Wellness, LLC Nutritionist 1751 Pinnacle Dr, Suite 600, Mc Lean, VA 22102-4903 2016-02-25
1730562497 Theresa Rosenthal Nutritionist 33 Sugarcamp Ln, Stuarts Draft, VA 24477-2916 2015-06-30
1639515331 Ideal Body Wellness Nutritionist 8206 Leesburg Pike Ste 302, Vienna, VA 22182-2614 2013-05-21
1326279100 Marlena Padron Reese Nutritionist 916 Enon Ct, Virginia Beach, VA 23454-6734 2009-07-28
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Competitor

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City HERNDON
Zip Code 20171

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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