Provider Demographics
NPI:1619039278
Name:AHUJA, AAKASH M (MD)
Entity Type:Individual
Prefix:
First Name:AAKASH
Middle Name:M
Last Name:AHUJA
Suffix:
Gender:M
Credentials:MD
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Other - Suffix:
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Mailing Address - Street 1:44750 60TH ST W
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-7619
Mailing Address - Country:US
Mailing Address - Phone:612-201-3488
Mailing Address - Fax:
Practice Address - Street 1:701 PARK AVE
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55415
Practice Address - Country:US
Practice Address - Phone:612-873-3161
Practice Address - Fax:612-904-4232
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA994152084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN620964500Medicaid
MN620964500Medicaid
MNI53840Medicare UPIN