Provider Demographics
NPI:1689817439
Name:WALIA, AMEETA AHUJA (DO)
Entity Type:Individual
Prefix:DR
First Name:AMEETA
Middle Name:AHUJA
Last Name:WALIA
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:2001 MARCUS AVE
Mailing Address - Street 2:SUITE N 210
Mailing Address - City:LAKE SUCCESS
Mailing Address - State:NY
Mailing Address - Zip Code:11042-2061
Mailing Address - Country:US
Mailing Address - Phone:516-354-3278
Mailing Address - Fax:516-354-2700
Practice Address - Street 1:2001 MARCUS AVE
Practice Address - Street 2:SUITE N 210
Practice Address - City:LAKE SUCCESS
Practice Address - State:NY
Practice Address - Zip Code:11042-2061
Practice Address - Country:US
Practice Address - Phone:516-354-3278
Practice Address - Fax:516-354-2700
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2013-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY232789207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease