Provider Demographics
NPI:1467816991
Name:BIDNUR, ARPANA
Entity Type:Individual
Prefix:
First Name:ARPANA
Middle Name:
Last Name:BIDNUR
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ARPANA
Other - Middle Name:
Other - Last Name:BIDNUR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RD
Mailing Address - Street 1:2100 MACK BLVD FL 4
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-5622
Mailing Address - Country:US
Mailing Address - Phone:484-884-5662
Mailing Address - Fax:484-884-0628
Practice Address - Street 1:1243 S CEDAR CREST BLVD STE 2200
Practice Address - Street 2:
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103
Practice Address - Country:US
Practice Address - Phone:610-402-3422
Practice Address - Fax:610-402-4078
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2018-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN004495133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered