Provider Demographics
NPI:1093325037
Name:SHABATIAN, SHAHRZAD SHAZI (MS, RDN)
Entity Type:Individual
Prefix:
First Name:SHAHRZAD
Middle Name:SHAZI
Last Name:SHABATIAN
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9478 W OLYMPIC BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-4246
Mailing Address - Country:US
Mailing Address - Phone:310-557-3707
Mailing Address - Fax:
Practice Address - Street 1:9478 W OLYMPIC BLVD STE 304
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90212-4246
Practice Address - Country:US
Practice Address - Phone:310-557-3707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered