Healthcare Provider Details

I. General information

NPI: 1821703430
Provider Name (Legal Business Name): NUTRIHEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 02/16/2023
Certification Date: 02/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 SANDHILL DR STE 201
MIDDLETOWN DE
19709-5859
US

IV. Provider business mailing address

20930 DUPONT BLVD UNIT 101
GEORGETOWN DE
19947-1723
US

V. Phone/Fax

Practice location:
  • Phone: 302-652-5109
  • Fax:
Mailing address:
  • Phone: 302-202-3438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: BESHARA HELOU
Title or Position: OWNER
Credential: MD
Phone: 302-856-3737