Provider Demographics
NPI:1194546606
Name:ESHGHALI FARAHANI, SHAHNAZ (RDN)
Entity type:Individual
Prefix:
First Name:SHAHNAZ
Middle Name:
Last Name:ESHGHALI FARAHANI
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:218 MAIN ST # 617
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-6108
Mailing Address - Country:US
Mailing Address - Phone:425-681-2300
Mailing Address - Fax:
Practice Address - Street 1:218 MAIN ST # 617
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6108
Practice Address - Country:US
Practice Address - Phone:425-681-2300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-18
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered