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NPI Code Detail

MEDICARE: RENA AHUJA MD A MEDICAL CORPORATION

MEDICARE: RENA AHUJA MD A MEDICAL CORPORATION
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 Physician

General Provider Information

NPI Number : 1679103436
Entity Type Code : Organization
Provider Name (Legal Business Name) : RENA AHUJA MD A MEDICAL CORPORATION
Provider Business Mailing Address
First Line : PO BOX 2724
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92659-0210
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 355 PLACENTIA AVE STE 209
Second Line :
City : NEWPORT BEACH
State : CA
Zip : 92663-3302
Country : US
Telephone Number : 949-209-2789
Fax Number : 888-726-1822
Authorized Official
Title or Position : OWNER / PHYSICIAN
Name : RENA AHUJA
Credential : MD
Telephone Number : 949-209-2789
Provider Enumeration Date : 01/21/2020
Last Update Date : 01/21/2020

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Directions to “RENA AHUJA MD A MEDICAL CORPORATION ” Practice Location

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