Provider Demographics
NPI:1174971774
Name:BATHEJA, SAPNA (RD LDN)
Entity type:Individual
Prefix:
First Name:SAPNA
Middle Name:
Last Name:BATHEJA
Suffix:
Gender:F
Credentials:RD LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8023 RESERVE WAY
Mailing Address - Street 2:
Mailing Address - City:VIENNA
Mailing Address - State:VA
Mailing Address - Zip Code:22182-3897
Mailing Address - Country:US
Mailing Address - Phone:216-269-8588
Mailing Address - Fax:
Practice Address - Street 1:100 M ST SE
Practice Address - Street 2:600
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-3519
Practice Address - Country:US
Practice Address - Phone:202-280-0234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-25
Last Update Date:2016-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCDI100000290133V00000X
MDDX2745133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered