Provider Demographics
NPI:1710945761
Name:AHUJA, RATAN K (MD FACC)
Entity Type:Individual
Prefix:
First Name:RATAN
Middle Name:K
Last Name:AHUJA
Suffix:
Gender:M
Credentials:MD FACC
Other - Prefix:
Other - First Name:RATAN
Other - Middle Name:K
Other - Last Name:AHUJA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 850001
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32885-0168
Mailing Address - Country:US
Mailing Address - Phone:386-456-0300
Mailing Address - Fax:386-456-0303
Practice Address - Street 1:759 HARLEY STRICKLAND BLVD
Practice Address - Street 2:
Practice Address - City:ORANGE CITY
Practice Address - State:FL
Practice Address - Zip Code:32763-7954
Practice Address - Country:US
Practice Address - Phone:386-456-0300
Practice Address - Fax:386-456-0303
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME74681207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL257333400Medicaid
G93895Medicare UPIN
FL49134CMedicare ID - Type Unspecified