Neda Khudeira

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

164.007233 Issued in IL

Practice address

8071 S Cicero Ave
Chicago, IL 60652-2003

Phone

(773) 585-0480

Fax

(773) 585-0482

NPI assigned

Jan 30, 2018

Last updated

Jan 30, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1517270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1114425618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9405 S OKETO AVE",
            "city": "BRIDGEVIEW",
            "state": "IL",
            "postal_code": "604552140",
            "telephone_number": "773-585-0480",
            "fax_number": "773-585-0482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8071 S CICERO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606522003",
            "telephone_number": "773-585-0480",
            "fax_number": "773-585-0482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHUDEIRA",
        "first_name": "NEDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-30",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "IL",
            "license": "164.007233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED DIETITAN NUTRITIONIST",
            "identifier": "164.007233",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Lee Khowong
• Khlwd Abdelhafez Hassan Khtab
• Muhammad Khudayar, MD
• Khudeira Medical Center, Inc
• Abdulkareem Khudeira, M.D.
• Edith Baradi Khurana, MD
• Neeta Khurana, O.D.
• Raj Khurana, M.D.
• Raj Khurana, M.D.
• Rajwinder Mangar Khurana, PSY.D.

• Metabolic Nutrition Registered Dietitian in Chicago, IL
• Providers in Chicago, IL by specialty
• Metabolic Nutrition Registered Dietitian in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.