Provider Demographics
NPI:1447227749
Name:AHLUWALIA, HARWINDER SINGH (MD)
Entity Type:Individual
Prefix:MR
First Name:HARWINDER
Middle Name:SINGH
Last Name:AHLUWALIA
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 1:1630 MT HOPE AVE
Mailing Address - Street 2:
Mailing Address - City:POTTSVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17901
Mailing Address - Country:US
Mailing Address - Phone:570-622-1575
Mailing Address - Fax:570-622-9970
Practice Address - Street 1:1630 MT HOPE AVE
Practice Address - Street 2:
Practice Address - City:POTTSVILLE
Practice Address - State:PA
Practice Address - Zip Code:17901
Practice Address - Country:US
Practice Address - Phone:570-622-1575
Practice Address - Fax:570-622-9970
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-06
Last Update Date:2011-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD028486E207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01144001OtherBLUE CROSS
PA0008969180001Medicaid
PA016179500OtherFEDERAL BLACK LUNG
PA01144001OtherBLUE CROSS
PA422714Medicare ID - Type Unspecified