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Individual

DR. MANEESHA AHLUWALIA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3801 BELLEMEADE AVE, STE 200C, EVANSVILLE, IN 47714-0100
(812) 485-1788
Mailing address
PO BOX 359, EVANSVILLE, IN 47703-0359

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
01071594A
IN
282N00000X
General Acute Care Hospital
250962
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
03065583
NY
Enumeration date
08/26/2008
Last updated
09/07/2012
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