Provider Demographics
NPI:1104352350
Name:KOHLI, APARNA (RDN, CD-N)
Entity type:Individual
Prefix:
First Name:APARNA
Middle Name:
Last Name:KOHLI
Suffix:
Gender:
Credentials:RDN, CD-N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7365 E SHORELINE DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85715-3453
Mailing Address - Country:US
Mailing Address - Phone:617-803-1137
Mailing Address - Fax:
Practice Address - Street 1:7365 E SHORELINE DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85715-3453
Practice Address - Country:US
Practice Address - Phone:617-803-1137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-10
Last Update Date:2025-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1510133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered