Provider Demographics
NPI:1679391254
Name:SHUHAIB, RANA (RD, LD)
Entity type:Individual
Prefix:
First Name:RANA
Middle Name:
Last Name:SHUHAIB
Suffix:
Gender:F
Credentials:RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:811 TOWN AND COUNTRY BLVD APT 104
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-3983
Mailing Address - Country:US
Mailing Address - Phone:713-732-6493
Mailing Address - Fax:
Practice Address - Street 1:811 TOWN AND COUNTRY BLVD APT 104
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77024-3983
Practice Address - Country:US
Practice Address - Phone:713-732-6493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-01
Last Update Date:2024-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX86175192133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered