Individual
NARESH KUMAR AHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4230 LINCOLNSHIRE DR STE A, MOUNT VERNON, IL 62864-2189
(618) 315-6466
(618) 315-6469
Mailing address
PO BOX 675, MOUNT VERNON, IL 62864-0014
(618) 315-6466
(618) 315-6469
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
036124910
IL
208600000X
Surgery Physician
MD434356
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036124910
—
IL
01
—
3932056
BCBS
IL
01
—
721089
AETNA
IL
Enumeration date
05/21/2008
Last updated
10/26/2022
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