IndividualActive
Krishna Shah
NPI 1053950519 · Registered Dietetic Technician · Bellevue, WA
Provider details
- NPI number
- 1053950519
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 86145677 (WA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
136 102nd Ave Se Apt 405
Bellevue, WA 98004-8144
Phone: (619) 254-1628
Approximate (ZIP-level) locationGet directions
Mailing address
136 102nd Ave Se Apt 405
Bellevue, WA 98004-8144
Registry dates
- Enumerated
- 2020-01-02
- Last updated
- 2020-01-02
- Certified
- 2020-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.