Doctor Name: | MANDY MIRZAIE |
NPI Number: | 1518383504 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RD |
License Number: | |
Business Practice Address: | 12018 W Broad St Suite 102 Richmond, VA - 232337796 |
Business Phone Number: | 8043600600 |
Business Fax Number: | 8043600601 |
Mailing Address: | 12018 W Broad St, Suite 102 RICHMOND |
State: | VA |
Postal Code: | 232337796 |
Phone Number: | 8043600600 |
Fax Number: | 8043600601 |
NPI Enumeration Date: | 03/14/2014 |
NPI Last Update Date: | 03/14/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |