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NPI Code Detail

MEDICARE: DR. DEEPAK AHUJA M.D.

MEDICARE: DR. DEEPAK AHUJA M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician29676IA
2207R00000XInternal Medicine Physician35050TN
3207R00000XInternal Medicine Physician0101230731VA
4207R00000XInternal Medicine Physician66239GA
5207R00000XInternal Medicine Physician36079980IL

General Provider Information

NPI Number : 1336142629
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DEEPAK AHUJA M.D.
Provider Business Mailing Address
First Line : 4516 41ST AVENUE CT
Second Line :
City : ROCK ISLAND
State : IL
Zip : 61201-7116
Country : US
Telephone Number : 309-269-1681
Fax Number :
Provider Business Practice Location Address
First Line : 2701 17TH ST
Second Line :
City : ROCK ISLAND
State : IL
Zip : 61201-5351
Country : US
Telephone Number : 309-779-2904
Fax Number : 309-779-2399
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 04/01/2021

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Directions to “ DR. DEEPAK AHUJA M.D.” Practice Location

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