Multispeciallty Health Group at Spotsylvania Regional

Primary specialty

Metabolic Nutrition Registered DietitianTaxonomy code 133VN1006X

License

711943 Issued in VA

Legal business name

MULTISPECIALLTY HEALTH GROUP AT SPOTSYLVANIA REGIONAL

Practice address

4604 Spotsylvania Pkwy
Suite 200
Fredericksburg, VA 22408-7763

Phone

(540) 423-6600

Fax

(540) 423-6655

NPI assigned

Apr 27, 2011

Organization subpart

Yes

Parent organization

HEALTH CORPORATION OF AMERICAAs reported in NPPES

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

Authorized official

Name

Mrs. Sandy K. Dhaliwal, MD

Title

Endocrinology

Phone

(540) 423-6000

Specialties & licenses 1

Addresses

Part of

Spotsylvania Multi-Specialty Group LLC

Locations

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

{
    "created_epoch": "1303862400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303862400000",
    "number": "1225329188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4604 SPOTSYLVANIA PKWY",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087763",
            "telephone_number": "540-423-6600",
            "fax_number": "540-423-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4604 SPOTSYLVANIA PKWY",
            "address_2": "SUITE 200",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224087763",
            "telephone_number": "540-423-6600",
            "fax_number": "540-423-6655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MULTISPECIALLTY HEALTH GROUP AT SPOTSYLVANIA REGIONAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTH CORPORATION OF AMERICA",
        "enumeration_date": "2011-04-27",
        "last_updated": "2011-04-27",
        "status": "A",
        "authorized_official_last_name": "DHALIWAL",
        "authorized_official_first_name": "SANDY",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ENDOCRINOLOGY",
        "authorized_official_telephone_number": "540-423-6000",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "133VN1006X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered, Nutrition, Metabolic",
            "state": "VA",
            "license": "711943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Metabolic Nutrition Registered Dietitian in Fredericksburg, VA
• Providers in Fredericksburg, VA by specialty
• Metabolic Nutrition Registered Dietitian in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2011; 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.