MEDICARE: AMIT AHUJA 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	207RG0100X	Gastroenterology Physician	31052	MS
2	207RG0100X	Gastroenterology Physician	14040R	LA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1528061959
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMIT AHUJA M.D.

Provider Business Mailing Address
First Line	:	7908 BATTURE DR
Second Line	:
City	:	SHREVEPORT
State	:	LA
Zip	:	71115-2988
Country	:	US
Telephone Number	:	318-617-3900
Fax Number	:

Provider Business Practice Location Address
First Line	:	201 4TH ST STE 3F
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71301-8421
Country	:	US
Telephone Number	:	318-685-4149
Fax Number	:	318-484-4738

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

Provider Enumeration Date	:	05/31/2005
Last Update Date	:	08/25/2023

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