Individual
DR. MANISHA AHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2905 N MAIN ST, DECATUR, IL 62526-4274
(217) 877-9117
Mailing address
2905 N MAIN ST, DECATUR, IL 62526-4274
(217) 877-9117
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.121678
IL
Other
Enumeration date
04/28/2008
Last updated
09/15/2008
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