MEDICARE: TING AN FANG RDN, CDCES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86291873

General Provider Information

NPI Number	:	1013798529
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TING AN FANG RDN, CDCES

Provider Business Mailing Address
First Line	:	569 S BRADDOCK AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-3216
Country	:	US
Telephone Number	:	412-284-7998
Fax Number	:

Provider Business Practice Location Address
First Line	:	569 S BRADDOCK AVE
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-3216
Country	:	US
Telephone Number	:	412-284-7998
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/10/2023
Last Update Date	:	05/22/2026

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