Provider Demographics
NPI:1568105120
Name:AL-SHAER, ABRAR (PHD RD)
Entity type:Individual
Prefix:DR
First Name:ABRAR
Middle Name:
Last Name:AL-SHAER
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 1:20619 TORRENCE CHAPEL RD STE 116-1032
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-6395
Mailing Address - Country:US
Mailing Address - Phone:215-839-8151
Mailing Address - Fax:
Practice Address - Street 1:153 BROOKSHIRE DR
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19116-1204
Practice Address - Country:US
Practice Address - Phone:704-819-1550
Practice Address - Fax:866-640-2175
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-20
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCL006856133V00000X
IL164.008798133V00000X
PADN007768133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered