Provider Demographics
NPI:1386464105
Name:DIARBAKRLI, SALMA (RD)
Entity type:Individual
Prefix:
First Name:SALMA
Middle Name:
Last Name:DIARBAKRLI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34145 OAK FOREST DR
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-2724
Mailing Address - Country:US
Mailing Address - Phone:734-351-3196
Mailing Address - Fax:
Practice Address - Street 1:34145 OAK FOREST DR
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-2724
Practice Address - Country:US
Practice Address - Phone:734-351-3196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
86174236133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered