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General NPI Number Information
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NPI Number | 1740437342
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Entity Type | Individual
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Provider Name | MANEESHA AHLUWALIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/26/2008
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Last Update Date | 09/07/2012
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Provider Practice Location Address
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Address Line | 3801 BELLEMEADE AVE STE 200C
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City | EVANSVILLE
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State | IN
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Zip | 47714-0100
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Country | US
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Telephone | 812-485-1788
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 359
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City | EVANSVILLE
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State | IN
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Zip | 47703-0359
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 250962
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number | 01071594A
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License Number State | IN
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