Provider Demographics
NPI:1952711327
Name:FARHAT-SABET, MOJGAN (RD, MS)
Entity Type:Individual
Prefix:
First Name:MOJGAN
Middle Name:
Last Name:FARHAT-SABET
Suffix:
Gender:F
Credentials:RD, MS
Other - Prefix:
Other - First Name:MOJGAN
Other - Middle Name:
Other - Last Name:MOAZEZ
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD, MS
Mailing Address - Street 1:3150 N TENAYA WAY
Mailing Address - Street 2:SUITE 460
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89128-0443
Mailing Address - Country:US
Mailing Address - Phone:702-233-1000
Mailing Address - Fax:702-233-1001
Practice Address - Street 1:3150 N TENAYA WAY
Practice Address - Street 2:SUITE 460
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89128-0443
Practice Address - Country:US
Practice Address - Phone:702-233-1000
Practice Address - Fax:702-233-1001
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV33061D10133NN1002X, 133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
No133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education