Provider Demographics
NPI:1871310540
Name:IRSHAD, RAMSHA (RD, MPH)
Entity type:Individual
Prefix:
First Name:RAMSHA
Middle Name:
Last Name:IRSHAD
Suffix:
Gender:F
Credentials:RD, MPH
Other - Prefix:
Other - First Name:RAMSHA
Other - Middle Name:
Other - Last Name:DAWAR IRSHAD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1223 HALSEY ST
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94590-3065
Mailing Address - Country:US
Mailing Address - Phone:510-993-9465
Mailing Address - Fax:
Practice Address - Street 1:1223 HALSEY ST
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94590-3065
Practice Address - Country:US
Practice Address - Phone:510-993-9465
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-24
Last Update Date:2024-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered