MEDICARE: DR. MADHU BALA AHLUWALIA M.D.

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	2084P0800X	Psychiatry Physician	136052	NY
2	2084P0800X	Psychiatry Physician	0074535	CO

General Provider Information

NPI Number	:	1295851699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MADHU BALA AHLUWALIA M.D.

Provider Business Mailing Address
First Line	:	2101 S BLACKHAWK ST STE 240
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1475
Country	:	US
Telephone Number	:	845-548-7197
Fax Number	:

Provider Business Practice Location Address
First Line	:	2101 S BLACKHAWK ST STE 240
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-1475
Country	:	US
Telephone Number	:	845-548-7197
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2007
Last Update Date	:	09/04/2025

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