Provider Demographics
NPI:1407090566
Name:AHUJA, SUKHDEEP KAUR (MD)
Entity Type:Individual
Prefix:DR
First Name:SUKHDEEP
Middle Name:KAUR
Last Name:AHUJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:60 WESTWOOD DR
Mailing Address - Street 2:APARTMENT 65
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-1613
Mailing Address - Country:US
Mailing Address - Phone:516-661-7916
Mailing Address - Fax:
Practice Address - Street 1:385 OAK ST
Practice Address - Street 2:MERCY MEDICAL CENTER
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-6543
Practice Address - Country:US
Practice Address - Phone:516-661-7916
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-20
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2578712084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry