Individual
DIVYA AHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 RICHLAND MEDICAL PARK DR, SUITE 420, COLUMBIA, SC 29203-6834
(803) 540-1000
(803) 540-1079
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
28203
SC
207RI0200X
Infectious Disease Physician
Primary
28203
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
282036
—
SC
Enumeration date
12/15/2005
Last updated
09/09/2020
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