Provider Demographics
NPI:1598082547
Name:GIAHI, FATEMEH (PHD, RD, LDN)
Entity Type:Individual
Prefix:DR
First Name:FATEMEH
Middle Name:
Last Name:GIAHI
Suffix:
Gender:F
Credentials:PHD, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01035-9542
Mailing Address - Country:US
Mailing Address - Phone:413-314-3438
Mailing Address - Fax:413-585-1500
Practice Address - Street 1:216 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9542
Practice Address - Country:US
Practice Address - Phone:413-314-3438
Practice Address - Fax:413-585-1500
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-30
Last Update Date:2015-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA676133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA100206940957OtherPTAN