MEDICARE: MS. BRAHMJOT KAUR AHLUWALIA MD

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1760324008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. BRAHMJOT KAUR AHLUWALIA MD

Provider Business Mailing Address
First Line	:	12677, 68 AVENUE
Second Line	:
City	:	SURREY
State	:	BC
Zip	:	V3W 2E3
Country	:	CA
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	TRINITY HEALTH ACADEMIC INTERNAL MEDICINE - NORTHWEST L
Second Line	:	37595 SEVEN MILE RD. SUITE 340
City	:	LIVONIA
State	:	MI
Zip	:	48152
Country	:	US
Telephone Number	:	734-793-2470
Fax Number	:

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

Provider Enumeration Date	:	04/07/2026
Last Update Date	:	04/07/2026

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