Healthcare Provider Details

I. General information

NPI: 1528984630
Provider Name (Legal Business Name): ARSHEEN KUDCHIKAR MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1469 LANEY WALKER BLVD
AUGUSTA GA
30912-0002
US

IV. Provider business mailing address

220 BENTON ST
JOHNS CREEK GA
30097-1817
US

V. Phone/Fax

Practice location:
  • Phone: 706-721-7005
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number114057
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: