Individual
CHAITANYA AHUJA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1541 KINGS HWY, SHREVEPORT, LA 71103-4228
(318) 626-0000
Mailing address
1512 W KIRBY PL, SHREVEPORT, LA 71103-3822
(318) 626-0287
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD.206405
LA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
MD.206405
LA
Other
Enumeration date
07/28/2007
Last updated
11/22/2022
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