Healthcare Provider Details

I. General information

NPI: 1609068519
Provider Name (Legal Business Name): KARTIKYA AHUJA M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2007
Last Update Date: 01/06/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 MARCUS AVE SUITE E-249
NEW HYDE PARK NY
11042-2061
US

IV. Provider business mailing address

2001 MARCUS AVE SUITE E-249
NEW HYDE PARK NY
11042-2061
US

V. Phone/Fax

Practice location:
  • Phone: 516-437-5600
  • Fax: 516-437-7428
Mailing address:
  • Phone: 516-437-5600
  • Fax: 516-437-7428

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number245197
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: