Provider Demographics
NPI:1679637573
Name:AHUJA, RITU (OD)
Entity Type:Individual
Prefix:
First Name:RITU
Middle Name:
Last Name:AHUJA
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:RITU
Other - Middle Name:AHUJA
Other - Last Name:SABHERWAL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2855 STEVENS CREEK BLVD
Mailing Address - Street 2:#2271
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-6709
Mailing Address - Country:US
Mailing Address - Phone:408-249-9492
Mailing Address - Fax:
Practice Address - Street 1:2855 STEVENS CREEK BLVD
Practice Address - Street 2:#2271
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-6709
Practice Address - Country:US
Practice Address - Phone:408-249-9492
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10874T152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAU71611Medicare UPIN
CASD0108740Medicare ID - Type Unspecified