Provider Demographics
NPI:1326855800
Name:BEY, MEDINAH A (RDN ELIGIBLE)
Entity type:Individual
Prefix:
First Name:MEDINAH
Middle Name:A
Last Name:BEY
Suffix:
Gender:F
Credentials:RDN ELIGIBLE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2929 W OXFORD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19121-2729
Mailing Address - Country:US
Mailing Address - Phone:267-475-1290
Mailing Address - Fax:
Practice Address - Street 1:2929 W OXFORD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19121-2729
Practice Address - Country:US
Practice Address - Phone:267-475-1290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered