Provider Demographics
NPI:1891903118
Name:AHLUWALIA, JASBIR S (MD)
Entity Type:Individual
Prefix:DR
First Name:JASBIR
Middle Name:S
Last Name:AHLUWALIA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:14400 MONTFORT DR
Mailing Address - Street 2:#305
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75254-8457
Mailing Address - Country:US
Mailing Address - Phone:254-968-2007
Mailing Address - Fax:254-968-0651
Practice Address - Street 1:6546 LYNDON B JOHNSON FWY
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75240-6502
Practice Address - Country:US
Practice Address - Phone:972-385-1333
Practice Address - Fax:972-385-1080
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SCF3018207VH0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VH0002XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyHospice and Palliative Medicine