MEDICARE: MICHAEL AHUJA MD LLC

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	208100000X	Physical Medicine & Rehabilitation Physician	ME126324	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700395407
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MICHAEL AHUJA MD LLC

Provider Business Mailing Address
First Line	:	PO BOX 111329
Second Line	:
City	:	NAPLES
State	:	FL
Zip	:	34108-0123
Country	:	US
Telephone Number	:	386-846-4603
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 NE PINE ISLAND RD
Second Line	:
City	:	CAPE CORAL
State	:	FL
Zip	:	33909-9999
Country	:	US
Telephone Number	:	386-846-4603
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN
Name	:	DR. MICHAEL AHUJA
Credential	:	MD
Telephone Number	:	386-846-4603

Provider Enumeration Date	:	09/25/2017
Last Update Date	:	05/19/2022

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