Provider Demographics
NPI:1053197640
Name:KAZMI, ZAINAB SOOFIA (MS, RD, LDN)
Entity type:Individual
Prefix:MS
First Name:ZAINAB
Middle Name:SOOFIA
Last Name:KAZMI
Suffix:
Gender:F
Credentials:MS, RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:88 RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2006
Mailing Address - Country:US
Mailing Address - Phone:508-681-5953
Mailing Address - Fax:
Practice Address - Street 1:44 PORTLAND ST FL 4
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01608-2023
Practice Address - Country:US
Practice Address - Phone:617-657-3153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-07
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALDN6914133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered