Provider Demographics
NPI:1639289739
Name:AHLUWALIA, MOHINDER PAUL (MD)
Entity Type:Individual
Prefix:MR
First Name:MOHINDER
Middle Name:PAUL
Last Name:AHLUWALIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:16143 KOKANEE RD
Mailing Address - Street 2:STE A
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1355
Mailing Address - Country:US
Mailing Address - Phone:760-242-9577
Mailing Address - Fax:760-242-2213
Practice Address - Street 1:16143 KOKANEE RD
Practice Address - Street 2:SUITE A
Practice Address - City:APPLE VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92307-1355
Practice Address - Country:US
Practice Address - Phone:760-242-9577
Practice Address - Fax:760-242-2213
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2015-02-11
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Provider Licenses
StateLicense IDTaxonomies
CAA38421207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA0334017Medicaid
A28617Medicare UPIN
CA00A384210Medicare ID - Type Unspecified