Provider Demographics
NPI:1972895548
Name:BHASIN, ARPITA KADAKIA (MD)
Entity type:Individual
Prefix:
First Name:ARPITA
Middle Name:KADAKIA
Last Name:BHASIN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ARPITA
Other - Middle Name:AJAY
Other - Last Name:KADAKIA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 3103
Mailing Address - Street 2:
Mailing Address - City:PEACHTREE CITY
Mailing Address - State:GA
Mailing Address - Zip Code:30269-7103
Mailing Address - Country:US
Mailing Address - Phone:678-590-1238
Mailing Address - Fax:
Practice Address - Street 1:415 S 8TH ST
Practice Address - Street 2:
Practice Address - City:GRIFFIN
Practice Address - State:GA
Practice Address - Zip Code:30224-4208
Practice Address - Country:US
Practice Address - Phone:678-590-1238
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-05-13
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXQ1094207W00000X
GA077705207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA077705OtherGA LICENSE