Individual
KANYA L AHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
830 PENNSYLVANIA AVE STE 103, CHARLESTON, WV 25302-3389
(304) 388-1552
Mailing address
830 PENNSYLVANIA AVE STE 103, CHARLESTON, WV 25302-3389
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2013022089
MO
2080P0206X
Pediatric Gastroenterology Physician
Primary
30353
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417397472
—
MO
01
—
431560263
TRICARE
MO
01
—
P0122576
RR MCR
MO
Enumeration date
07/04/2013
Last updated
04/06/2022
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