Provider Demographics
NPI:1285456582
Name:AWEIDAH, MUNA IBRAHIM (RDN)
Entity type:Individual
Prefix:
First Name:MUNA
Middle Name:IBRAHIM
Last Name:AWEIDAH
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 1:5201 EDEN AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:EDINA
Mailing Address - State:MN
Mailing Address - Zip Code:55436-2315
Mailing Address - Country:US
Mailing Address - Phone:612-289-6090
Mailing Address - Fax:
Practice Address - Street 1:5201 EDEN AVE STE 300
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55436-2315
Practice Address - Country:US
Practice Address - Phone:612-289-6090
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-28
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered