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Individual

EKTA W AHLUWALIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
9641 CASTLE RD, OKLAHOMA CITY, OK 73162-7217
(405) 721-0168
Mailing address
9641 CASTLE RD, OKLAHOMA CITY, OK 73162-7217
(405) 721-0168

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
673
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100676600B
OK
01
445401657-002
BC/BS
OK
Enumeration date
06/17/2006
Last updated
11/15/2013
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