MEDICARE: SALMA DIARBAKRLI RD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	133V00000X	Registered Dietitian	86174236

General Provider Information

NPI Number	:	1386464105
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SALMA DIARBAKRLI RD

Provider Business Mailing Address
First Line	:	34145 OAK FOREST DR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-2724
Country	:	US
Telephone Number	:	734-351-3196
Fax Number	:

Provider Business Practice Location Address
First Line	:	34145 OAK FOREST DR
Second Line	:
City	:	FARMINGTON HILLS
State	:	MI
Zip	:	48331-2724
Country	:	US
Telephone Number	:	734-351-3196
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/16/2024
Last Update Date	:	10/16/2024

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Directions to “ SALMA DIARBAKRLI RD” Practice Location

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