Individual
GAURAV AHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1227 E RUSHOLME ST, DAVENPORT, IA 52803-2459
(563) 421-3121
(563) 421-3129
Mailing address
3200 W KIMBERLY RD, DAVENPORT, IA 52806-3059
(563) 421-0250
(563) 421-0259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
125049507
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518144195
—
IA
Enumeration date
01/26/2008
Last updated
04/28/2021
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