Provider Demographics
NPI:1215782941
Name:ABEL PAUL, PRISCILLA (RDN)
Entity type:Individual
Prefix:
First Name:PRISCILLA
Middle Name:
Last Name:ABEL PAUL
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3, JALAN DAMAI MURNI 8,
Mailing Address - Street 2:ALAM DAMAI, CHERAS
Mailing Address - City:KUALA LUMPUR
Mailing Address - State:WP KUALA LUMPUR
Mailing Address - Zip Code:56000
Mailing Address - Country:MY
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3, JALAN DAMAI MURNI 8,
Practice Address - Street 2:ALAM DAMAI, CHERAS
Practice Address - City:KUALA LUMPUR
Practice Address - State:WP KUALA LUMPUR
Practice Address - Zip Code:56000
Practice Address - Country:MY
Practice Address - Phone:012-840-8040
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-17
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164009499133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered