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Individual

CHANDNISH K AHLUWALIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1812 VERDUGO BLVD, GLENDALE, CA 91208-1407
(818) 952-2286
(818) 952-2274
Mailing address
1812 VERDUGO BLVD, GLENDALE, CA 91208-1407
(818) 790-7100

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
A44903
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A449030
CA
Enumeration date
09/07/2005
Last updated
09/18/2017
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