Provider Demographics
NPI:1104360304
Name:SHAH, DARSHI NILOY (NBC-HWC, CNT, CGP)
Entity Type:Individual
Prefix:
First Name:DARSHI
Middle Name:NILOY
Last Name:SHAH
Suffix:
Gender:F
Credentials:NBC-HWC, CNT, CGP
Other - Prefix:
Other - First Name:DARSHI
Other - Middle Name:CHANDRAKANT
Other - Last Name:SHAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CGP
Mailing Address - Street 1:1727 SPARROWS RDG
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77450-6693
Mailing Address - Country:US
Mailing Address - Phone:832-291-7266
Mailing Address - Fax:
Practice Address - Street 1:1727 SPARROWS RDG
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77450-6693
Practice Address - Country:US
Practice Address - Phone:832-291-7266
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-07
Last Update Date:2021-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXHTQL18HSMBHHK133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, EducationGroup - Multi-Specialty