Provider Demographics
NPI:1023038320
Name:SAMI, PARICHEHR SALIM I (MS,RD,CDE,LDN)
Entity Type:Individual
Prefix:MRS
First Name:PARICHEHR
Middle Name:SALIM
Last Name:SAMI
Suffix:I
Gender:F
Credentials:MS,RD,CDE,LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:591 N VALLEY FORGE RD
Mailing Address - Street 2:
Mailing Address - City:DEVON
Mailing Address - State:PA
Mailing Address - Zip Code:19333-1254
Mailing Address - Country:US
Mailing Address - Phone:610-971-9391
Mailing Address - Fax:
Practice Address - Street 1:591 N VALLEY FORGE RD
Practice Address - Street 2:
Practice Address - City:DEVON
Practice Address - State:PA
Practice Address - Zip Code:19333-1254
Practice Address - Country:US
Practice Address - Phone:610-971-9391
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN000676133VN1006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1006XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Metabolic