Individual
RAHUL AHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
18406 ROSCOE BLVD FL 3, NORTHRIDGE, CA 91325-4107
(818) 885-5480
(818) 993-1917
Mailing address
3400 DATA DR, ATTN CREDENTIALING/PAYER ENROLLMENT, RANCHO CORDOVA, CA 95670-7956
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OT017019
PA
208M00000X
Hospitalist Physician
Primary
20A17411
CA
Other
Enumeration date
05/27/2016
Last updated
08/03/2020
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