Provider Demographics
NPI:1659134773
Name:AKLE, SHADYA (RWP)
Entity Type:Individual
Prefix:
First Name:SHADYA
Middle Name:
Last Name:AKLE
Suffix:
Gender:F
Credentials:RWP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5318 CAREW ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77096-1218
Mailing Address - Country:US
Mailing Address - Phone:713-992-9404
Mailing Address - Fax:713-992-9404
Practice Address - Street 1:160 7TH AVE S
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10014-2727
Practice Address - Country:US
Practice Address - Phone:713-992-9404
Practice Address - Fax:713-992-9404
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist