Individual
DR. SHASHI K AHUJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 BROADWAY, SUITE 300, FORT WAYNE, IN 46802-2149
(260) 425-3133
(260) 425-3110
Mailing address
800 BROADWAY STE 300, FORT WAYNE, IN 46802-2149
(260) 425-3133
(260) 425-3110
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
01027373A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100054800A
—
IN
Enumeration date
08/29/2006
Last updated
12/04/2009
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