Provider Demographics
NPI:1790455434
Name:PAREKH, PAMMI (REGISTERED DIETICIAN)
Entity Type:Individual
Prefix:
First Name:PAMMI
Middle Name:
Last Name:PAREKH
Suffix:
Gender:F
Credentials:REGISTERED DIETICIAN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 HEDLEY DR
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6290
Mailing Address - Country:US
Mailing Address - Phone:714-614-0504
Mailing Address - Fax:
Practice Address - Street 1:15 HEDLEY DR
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540-6290
Practice Address - Country:US
Practice Address - Phone:609-785-5122
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-15
Last Update Date:2022-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1046291133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered