MEDICARE: MRS. SHAVINDER 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	208000000X	Pediatrics Physician	35053044	OH
2	208D00000X	General Practice Physician	35053044	OH

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	:	1982614657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHAVINDER KAUR AHLUWALIA MD

Provider Business Mailing Address
First Line	:	3006 SOUTH CAMPBELL ST
Second Line	:	NORTH CENTRAL OHIO MEDICAL SERVICES INC
City	:	SANDUSKY
State	:	OH
Zip	:	44870
Country	:	US
Telephone Number	:	419-625-7594
Fax Number	:	419-626-5640

Provider Business Practice Location Address
First Line	:	3006 SOUTH CAMPBELL ST
Second Line	:	NORTH CENTRAL OHIO MEDICAL SERVICES INC
City	:	SANDUSKY
State	:	OH
Zip	:	44870
Country	:	US
Telephone Number	:	419-625-7594
Fax Number	:	419-626-5640

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

Provider Enumeration Date	:	08/08/2006
Last Update Date	:	03/22/2010

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