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NPI Code Detail

MEDICARE: AVAETA AHLUWALIA MSW

MEDICARE: AVAETA AHLUWALIA MSW
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
11041C0700XClinical Social WorkerASW136781CA

General Provider Information

NPI Number : 1902745144
Entity Type Code : Individual
Provider Name (Legal Business Name) : AVAETA AHLUWALIA MSW
Provider Business Mailing Address
First Line : 711 G ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-1212
Country : US
Telephone Number : 916-874-5222
Fax Number :
Provider Business Practice Location Address
First Line : 651 I ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95814-2400
Country : US
Telephone Number : 916-874-5222
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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