NPIMap

Organization Active NPI

Roshan Khaki, LLC

  • Registered Dietitian
  • Sandy Springs, GA
National Provider Identifier
1205110244
Registry record updated Oct 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
LD002087 Issued in GA
Legal business name
ROSHAN KHAKI, LLC
Practice address
6851 Roswell Rd NE
Unit # O-13
Sandy Springs, GA 30328-2456
Phone
(770) 804-0138
NPI assigned
Oct 10, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Roshan Khaki, RD., LD., CDENPI 1194029678
Title
President
Phone
(770) 804-0138

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X SINGLE SPECIALTY GROUP 133V00000X LD002087 GA Primary

Addresses

Primary practice location

6851 Roswell Rd NE
Unit # O-13
Sandy Springs, GA 30328-2456

Mailing address

6851 Roswell Road
Unit # O-13
Sandy Springs, GA 30328-2456
Phone (770) 804-0138

National Provider Directory

National Provider Directory

Locations

6851 Roswell Rd
#13
Sandy Springs, GA 30328

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1318204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318204800000",
    "number": "1205110244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6851 ROSWELL ROAD",
            "address_2": "UNIT # O-13",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282456",
            "telephone_number": "770-804-0138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6851 ROSWELL RD NE",
            "address_2": "UNIT # O-13",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303282456",
            "telephone_number": "770-804-0138"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSHAN KHAKI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-10-10",
        "last_updated": "2011-10-10",
        "status": "A",
        "authorized_official_last_name": "KHAKI",
        "authorized_official_first_name": "ROSHAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-804-0138",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RD., LD., CDE"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dietitian, Registered",
            "state": "GA",
            "license": "LD002087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.