Koorosh Tartibi
Dietitian, Registered in Orlando, FL. Individual provider (NPI-1).
NPI number1033917026
StatusActive
Last updated in NPPESMar 5, 2025
Details
- NPI
- 1033917026
- Entity type
- Individual (NPI-1)
- Name
- Koorosh Tartibi
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 5, 2025
- Certification date
- Mar 5, 2025
- Last updated
- Mar 5, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONA
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86212038 | FL | Yes |
Practice location
8374 Rothman AlyOrlando, FL 32827-7780
Phone 407-353-0408
Mailing address
8374 Rothman AlyOrlando, FL 32827-7780
Phone 407-353-0408
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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