Provider Demographics
NPI:1447467667
Name:PUROHIT, TRUPTI (RD,LD)
Entity type:Individual
Prefix:MRS
First Name:TRUPTI
Middle Name:
Last Name:PUROHIT
Suffix:
Gender:F
Credentials:RD,LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4616 OAK ARBOR DR
Mailing Address - Street 2:
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602-4902
Mailing Address - Country:US
Mailing Address - Phone:229-247-1676
Mailing Address - Fax:229-671-2010
Practice Address - Street 1:209 E MAIN ST
Practice Address - Street 2:
Practice Address - City:HAHIRA
Practice Address - State:GA
Practice Address - Zip Code:31632-1121
Practice Address - Country:US
Practice Address - Phone:229-794-1794
Practice Address - Fax:229-794-9794
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-17
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALD002572133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered