Provider Demographics
NPI:1326203985
Name:JAHADI, POONEH (PHD)
Entity type:Individual
Prefix:DR
First Name:POONEH
Middle Name:
Last Name:JAHADI
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:P.J.
Other - Middle Name:
Other - Last Name:YAZDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PHD
Mailing Address - Street 1:715 DISCOVERY BLVD
Mailing Address - Street 2:SUITE 511
Mailing Address - City:CEDAR PARK
Mailing Address - State:TX
Mailing Address - Zip Code:78613-2287
Mailing Address - Country:US
Mailing Address - Phone:512-528-9600
Mailing Address - Fax:
Practice Address - Street 1:715 DISCOVERY BLVD
Practice Address - Street 2:SUITE 511
Practice Address - City:CEDAR PARK
Practice Address - State:TX
Practice Address - Zip Code:78613-2287
Practice Address - Country:US
Practice Address - Phone:512-528-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-23
Last Update Date:2008-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education