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Individual

DR. KRISHNA PAHUJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4020 CALUMET AVE, HAMMOND, IN 46320-1129
(219) 933-4889
(219) 933-3153
Mailing address
PO BOX 704, HAMMOND, IN 46325-0704
(219) 933-4889
(219) 933-3153

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01031889
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000227440
BLUE SHIELD
IN
01
0090001298
BLUE CROSS BLUE SHIELD IL
IL
01
010036025
RAILROAD MEDICARE
IN
05
100206510A
IN
Enumeration date
04/28/2006
Last updated
09/05/2013
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