Provider Demographics
NPI:1497943286
Name:AHLUWALIA, SHAMSHER SINGH (MD)
Entity Type:Individual
Prefix:DR
First Name:SHAMSHER
Middle Name:SINGH
Last Name:AHLUWALIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:KANWAR SHAMSHER
Other - Middle Name:SINGH
Other - Last Name:WALIA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:M,D
Mailing Address - Street 1:PO BOX 744786
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4786
Mailing Address - Country:US
Mailing Address - Phone:704-834-2450
Mailing Address - Fax:704-671-5331
Practice Address - Street 1:1337 E GARRISON BLVD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-5127
Practice Address - Country:US
Practice Address - Phone:704-865-3848
Practice Address - Fax:704-854-3086
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-05
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY249480-12084P0800X
NC2009-005302084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry