Provider Demographics
NPI:1073562526
Name:AHUJA, GIRDHAR L (MD)
Entity Type:Individual
Prefix:DR
First Name:GIRDHAR
Middle Name:L
Last Name:AHUJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 E COUNTY LINE RD
Mailing Address - Street 2:SUITE 6
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46227-1004
Mailing Address - Country:US
Mailing Address - Phone:317-882-2229
Mailing Address - Fax:
Practice Address - Street 1:1250 E COUNTY LINE RD
Practice Address - Street 2:SUITE 6
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46227-1004
Practice Address - Country:US
Practice Address - Phone:317-882-2229
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN010260742080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine