Provider Demographics
NPI:1891257531
Name:AHLAWAT, SHRUTI (DO)
Entity Type:Individual
Prefix:
First Name:SHRUTI
Middle Name:
Last Name:AHLAWAT
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ASPEN RD
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-1201
Mailing Address - Country:US
Mailing Address - Phone:862-216-4629
Mailing Address - Fax:
Practice Address - Street 1:27155 CHARDON RD
Practice Address - Street 2:
Practice Address - City:RICHMOND HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44143-1183
Practice Address - Country:US
Practice Address - Phone:440-585-7125
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-02
Last Update Date:2019-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program