| Doctor Name: | MRS. FAHIMAH YAZDANFARD CALLAHAN |
| NPI Number: | 1710145958 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RD |
| License Number: | DT 80799 |
| Business Practice Address: | 14832 Main St. Usrenal Caretri-county Dialysis Lytle, TX - 78052 |
| Business Phone Number: | 8307725784 |
| Business Fax Number: | 8307725793 |
| Mailing Address: | 14 Knights Peak, SAN ANTONIO |
| State: | TX |
| Postal Code: | 782542511 |
| Phone Number: | 2108726105 |
| Fax Number: | |
| NPI Enumeration Date: | 05/23/2008 |
| NPI Last Update Date: | 05/10/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 133V00000X |
| License Number: | DT 80799 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| 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 |