Provider Demographics
NPI:1588439541
Name:UNRAVELING OBESITY
Entity type:Organization
Organization Name:UNRAVELING OBESITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NERMEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHAM
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:240-393-0761
Mailing Address - Street 1:5653 DENTON CT
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21703-8665
Mailing Address - Country:US
Mailing Address - Phone:240-393-0761
Mailing Address - Fax:
Practice Address - Street 1:5653 DENTON CT
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21703-8665
Practice Address - Country:US
Practice Address - Phone:240-393-0761
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-20
Last Update Date:2023-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight ManagementGroup - Single Specialty