Healthcare Provider Details

I. General information

NPI: 1841267473
Provider Name (Legal Business Name): RITA AHUJA M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 01/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3071 PERRY AVE
BRONX NY
10467-4111
US

IV. Provider business mailing address

3071 PERRY AVE
BRONX NY
10467-4111
US

V. Phone/Fax

Practice location:
  • Phone: 718-231-6700
  • Fax: 718-515-5454
Mailing address:
  • Phone: 718-231-6700
  • Fax: 718-515-5454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number145263
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: