Provider Demographics
NPI:1750106589
Name:BUKHARI, SHABEE ZAHRA (RD)
Entity type:Individual
Prefix:
First Name:SHABEE
Middle Name:ZAHRA
Last Name:BUKHARI
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:605 JAMIE CIR
Mailing Address - Street 2:
Mailing Address - City:KING OF PRUSSIA
Mailing Address - State:PA
Mailing Address - Zip Code:19406-1975
Mailing Address - Country:US
Mailing Address - Phone:610-308-9581
Mailing Address - Fax:
Practice Address - Street 1:605 JAMIE CIR
Practice Address - Street 2:
Practice Address - City:KING OF PRUSSIA
Practice Address - State:PA
Practice Address - Zip Code:19406-1975
Practice Address - Country:US
Practice Address - Phone:610-308-9581
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-18
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN008706133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered