Provider Demographics
NPI:1114188877
Name:AHLUWALIA, NUPUR (MBBS,MD)
Entity Type:Individual
Prefix:DR
First Name:NUPUR
Middle Name:
Last Name:AHLUWALIA
Suffix:
Gender:F
Credentials:MBBS,MD
Other - Prefix:DR
Other - First Name:NUPUR
Other - Middle Name:
Other - Last Name:BATRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBBS,MD
Mailing Address - Street 1:2100 WESCOTT DR
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-4603
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2100 WESCOTT DR
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-4603
Practice Address - Country:US
Practice Address - Phone:908-788-6100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2017-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY003841207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0434868Medicaid
NJ0434868Medicaid