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Individual

DR. JITESH AHUJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1515 HOLCOMBE BLVD, HOUSTON, TX 77030
(713) 792-6161
Mailing address
PO BOX 4439, HOUSTON, TX 77210-4439
(713) 792-2991

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD60340415
WA
2085R0202X
Diagnostic Radiology Physician
Primary
R4506
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2029097
WA
05
392716201
TX
01
392716202
CSHCN
TX
01
8KI877
BCBS
TX
Enumeration date
07/17/2011
Last updated
02/21/2019
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