# CHANDNISH K AHLUWALIA M D INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013901974
- **Authorized official:** CHANDNISH K AHLUWALIA M.D. (PRESIDENT)
- **Authorized official phone:** (818) 952-2286

## Contact information

- **Practice address:** 1812 VERDUGO BLVD, GLENDALE, CA 91208-1407
- **Practice address phone:** (818) 952-2286
- **Practice address fax:** (818) 952-2274
- **Mailing address:** 1812 VERDUGO BLVD, GLENDALE, CA 91208-1407
- **Mailing address phone:** (818) 790-7100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/07/2005
- **Last updated:** 02/01/2013