Provider Demographics
NPI:1487122156
Name:ARJOMAND, ALI (PHD)
Entity type:Individual
Prefix:
First Name:ALI
Middle Name:
Last Name:ARJOMAND
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 CARILLON POINT
Mailing Address - Street 2:BLDG 5000 4TH FLOOR
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033
Mailing Address - Country:US
Mailing Address - Phone:425-576-4023
Mailing Address - Fax:
Practice Address - Street 1:5400 CARILLON POINT
Practice Address - Street 2:BLDG 5000 FOURTH FLOOR
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7357
Practice Address - Country:US
Practice Address - Phone:206-650-5902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-10
Last Update Date:2019-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist