MEDICARE: SAMIR AHUJA MD

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
1	207V00000X	Obstetrics & Gynecology Physician	35068729	OH

General Provider Information

NPI Number	:	1497850622
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMIR AHUJA MD

Provider Business Mailing Address
First Line	:	PO BOX 74439
Second Line	:
City	:	CLEVELAND
State	:	OH
Zip	:	44194-0002
Country	:	US
Telephone Number	:	440-205-5870
Fax Number	:	440-205-5881

Provider Business Practice Location Address
First Line	:	9000 MENTOR AVE STE 215
Second Line	:
City	:	MENTOR
State	:	OH
Zip	:	44060-4496
Country	:	US
Telephone Number	:	440-205-5870
Fax Number	:	440-205-5881

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/13/2006
Last Update Date	:	01/12/2021

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Directions to “ SAMIR AHUJA MD” Practice Location

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