Provider Demographics
NPI:1962118513
Name:DHARSI, RABIYA (RDN)
Entity type:Individual
Prefix:
First Name:RABIYA
Middle Name:
Last Name:DHARSI
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 1:11 MCCLOSKEY RD
Mailing Address - Street 2:
Mailing Address - City:FLOURTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19031-2017
Mailing Address - Country:US
Mailing Address - Phone:717-514-3447
Mailing Address - Fax:
Practice Address - Street 1:11 MCCLOSKEY RD
Practice Address - Street 2:
Practice Address - City:FLOURTOWN
Practice Address - State:PA
Practice Address - Zip Code:19031-2017
Practice Address - Country:US
Practice Address - Phone:717-514-3447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN005270133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered