| Doctor Name: | SARA J PEROVICH |
| NPI Number: | 1194819581 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | 6 |
| Business Practice Address: | 8300 Constitution Ave Ne Kaseman Hospital Food And Nutrition Albuquerque, NM - 871107613 |
| Business Phone Number: | 5052912625 |
| Business Fax Number: | 5052912446 |
| Mailing Address: | Po Box 26666, Phs Provider Enrollment ALBUQUERQUE |
| State: | NM |
| Postal Code: | 871256666 |
| Phone Number: | 5059235356 |
| Fax Number: | 5059235654 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 10/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | 6 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NM |
| Taxonomy Type: | Dietary & Nutritional Service Providers |
| Taxonomy Classification: | Dietitian, Registered |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |