Provider Demographics
NPI:1316194236
Name:AHUJA, ANANT VIJAY (MD)
Entity Type:Individual
Prefix:DR
First Name:ANANT
Middle Name:VIJAY
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 1:127 W 96TH ST
Mailing Address - Street 2:APT 1J
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-6427
Mailing Address - Country:US
Mailing Address - Phone:914-806-5210
Mailing Address - Fax:
Practice Address - Street 1:127 W 96TH ST
Practice Address - Street 2:APT 1J
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-6427
Practice Address - Country:US
Practice Address - Phone:914-806-5210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-21
Last Update Date:2009-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY60246074207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine