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Individual

DR. DEEPAK AHUJA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
2701 17TH ST, ROCK ISLAND, IL 61201-5351
(309) 779-2904
(309) 779-2399
Mailing address
4516 41ST AVENUE CT, ROCK ISLAND, IL 61201-7116
(309) 269-1681

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101230731
VA
207R00000X
Internal Medicine Physician
29676
IA
207R00000X
Internal Medicine Physician
35050
TN
207R00000X
Internal Medicine Physician
Primary
36079980
IL
207R00000X
Internal Medicine Physician
66239
GA

Other

Enumeration date
05/31/2005
Last updated
04/01/2021
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