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NPI Code Detail

MEDICARE: ABHILASHA AHUJA MD

MEDICARE: ABHILASHA AHUJA 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
1390200000XStudent in an Organized Health Care Education/Training Program
2208000000XPediatrics Physician317861NY

General Provider Information

NPI Number : 1992366363
Entity Type Code : Individual
Provider Name (Legal Business Name) : ABHILASHA AHUJA MD
Provider Business Mailing Address
First Line : SUNY DOWNSTATE 450 CLARKSON AVENUE
Second Line : DEPARTMENT OF PEDIATRICS (BOX 49)
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-270-2078
Fax Number :
Provider Business Practice Location Address
First Line : 450 CLARKSON AVENUE
Second Line : DEPARTMENT OF PEDIATRICS
City : BROOKLYN
State : NY
Zip : 11203-2012
Country : US
Telephone Number : 718-270-2078
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2019
Last Update Date : 04/06/2026

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