Provider Demographics
NPI:1457183022
Name:BAKSHI, ARNASHA HUDDA (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:ARNASHA
Middle Name:HUDDA
Last Name:BAKSHI
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:ARNASHA
Other - Middle Name:ARIF
Other - Last Name:HUDDA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4293 FOXTAIL PINE ALY
Mailing Address - Street 2:
Mailing Address - City:DORAVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30360-4100
Mailing Address - Country:US
Mailing Address - Phone:404-539-4378
Mailing Address - Fax:
Practice Address - Street 1:4293 FOXTAIL PINE ALY
Practice Address - Street 2:
Practice Address - City:DORAVILLE
Practice Address - State:GA
Practice Address - Zip Code:30360-4100
Practice Address - Country:US
Practice Address - Phone:404-539-4378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD007038133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered