Healthcare Provider Details

I. General information

NPI: 1760938146
Provider Name (Legal Business Name): ZAVIHEALTH INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2016
Last Update Date: 01/25/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 9TH ST
BROOKLYN NY
11215-4026
US

IV. Provider business mailing address

75 KATHERINE DR
LOWELL MA
01854-1135
US

V. Phone/Fax

Practice location:
  • Phone: 978-387-7490
  • Fax:
Mailing address:
  • Phone: 978-387-7490
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133V00000X
TaxonomyRegistered Dietitian
License Number
License Number State

VIII. Authorized Official

Name: GATI DHARANI
Title or Position: OWNER
Credential:
Phone: 978-387-7490