Provider Demographics
NPI:1194965368
Name:BESTERMAN-DAHAN, KAREN (PHD, RD)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:BESTERMAN-DAHAN
Suffix:
Gender:F
Credentials:PHD, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5122 STONEHURST RD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33647-1003
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:8900 GRAND OAK CIR RM 125
Practice Address - Street 2:VA SAFETY CENTER
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33637-1022
Practice Address - Country:US
Practice Address - Phone:813-558-3952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-02
Last Update Date:2009-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 2356133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered