Organization
CHANDNISH K AHLUWALIA M D INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHANDNISH K AHLUWALIA M.D. (PRESIDENT)
(818) 952-2286
Entity
Organization
Contact information
Practice address
1812 VERDUGO BLVD, GLENDALE, CA 91208-1407
(818) 952-2286
(818) 952-2274
Mailing address
1812 VERDUGO BLVD, GLENDALE, CA 91208-1407
(818) 790-7100
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A449030
—
CA
Enumeration date
09/07/2005
Last updated
02/01/2013
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