Provider Demographics
NPI:1578617395
Name:AHUJA, VANITA (MD)
Entity Type:Individual
Prefix:DR
First Name:VANITA
Middle Name:
Last Name:AHUJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-851-6110
Mailing Address - Fax:717-851-1999
Practice Address - Street 1:25 MONUMENT RD
Practice Address - Street 2:SUITE 120
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5060
Practice Address - Country:US
Practice Address - Phone:717-851-6110
Practice Address - Fax:717-851-1999
Is Sole Proprietor?:No
Enumeration Date:2007-01-22
Last Update Date:2016-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD195848-0208600000X
PAMD438344208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA290395OtherUNISON-WMG
PA1024028780001Medicaid
PA1587173OtherGATEWAY-WMG
PA751559OtherUPMC-WMG
PA2142723OtherHIGHMARK BLUE SHIELD-WMG
MD959240OtherCAREFIRST MD BCBS
MD037470900Medicaid
PA20100232OtherAMERIHEALTH MERCY-WMG
MD037470900Medicaid