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NPI Code Detail

MEDICARE: DR. GAUTAM AHLUWALIA MD

MEDICARE:  DR. GAUTAM  AHLUWALIA  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
1207R00000XInternal Medicine Physician339937NY

General Provider Information

NPI Number : 1780553677
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GAUTAM AHLUWALIA MD
Provider Business Mailing Address
First Line : 667 STONELEIGH AVE STE A201
Second Line :
City : CARMEL
State : NY
Zip : 10512-2454
Country : US
Telephone Number : 845-278-5223
Fax Number : 845-278-4579
Provider Business Practice Location Address
First Line : 1872 COMMERCE ST
Second Line :
City : YORKTOWN HEIGHTS
State : NY
Zip : 10598-4430
Country : US
Telephone Number : 914-962-3303
Fax Number : 914-962-4271
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2025
Last Update Date : 11/07/2025

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Directions to “ DR. GAUTAM AHLUWALIA MD” Practice Location

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