Mahbanoo Bastani
NPI 1821985060ActiveIndividual· Dietitian, Registered· Sugar Land, TX
Dietitian, Registered with Surely Health Inc, practicing in Sugar Land, Texas. Enrolled in Medicare as practitioner - registered dietitian or nutrition professional and practitioner - registered dietitian or nutrition professional.
Overview
| NPI | 1821985060 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jun 20, 2025 |
| Last updated in NPPES | Jun 20, 2025 |
| Certified by provider | Jun 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | DT87455 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Registered Dietitian Or Nutrition Professional (AZ); Practitioner - Registered Dietitian Or Nutrition Professional (NJ); Practitioner - Registered Dietitian Or Nutrition Professional (TX) |
|---|
Education and affiliations
| Graduation year | 2016 |
|---|---|
| Medicare specialty | Registered Dietitian Or Nutrition Professional |
Medical group
- Surely Health IncTucson, AZ · 45 clinicians
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