Provider Demographics
NPI:1649584426
Name:TANWAR-AHUJA, MEENA (MD)
Entity type:Individual
Prefix:DR
First Name:MEENA
Middle Name:
Last Name:TANWAR-AHUJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MEENA
Other - Middle Name:KUMARI
Other - Last Name:TANWAR-AHUJA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:24422 AVENIDA DE LA CARLOTA STE 300
Mailing Address - Street 2:
Mailing Address - City:LAGUNA HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:92653-3628
Mailing Address - Country:US
Mailing Address - Phone:949-599-2434
Mailing Address - Fax:949-599-2430
Practice Address - Street 1:333 CORPORATE DR STE 200
Practice Address - Street 2:
Practice Address - City:LADERA RANCH
Practice Address - State:CA
Practice Address - Zip Code:92694-2179
Practice Address - Country:US
Practice Address - Phone:949-347-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZR71718208000000X
CAA129156208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics