Provider Demographics
NPI:1740314954
Name:AHLUWALIA, GURPAL SINGH (MD)
Entity type:Individual
Prefix:DR
First Name:GURPAL
Middle Name:SINGH
Last Name:AHLUWALIA
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:4000 MIAMISBURG CENTERVILLE RD
Mailing Address - Street 2:STE. 230
Mailing Address - City:MIAMISBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45342-7615
Mailing Address - Country:US
Mailing Address - Phone:937-433-5309
Mailing Address - Fax:937-433-1336
Practice Address - Street 1:4000 MIAMISBURG CENTERVILLE RD
Practice Address - Street 2:STE. 230
Practice Address - City:MIAMISBURG
Practice Address - State:OH
Practice Address - Zip Code:45342-7615
Practice Address - Country:US
Practice Address - Phone:937-433-5309
Practice Address - Fax:937-433-1336
Is Sole Proprietor?:No
Enumeration Date:2007-03-16
Last Update Date:2024-11-14
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA104258207X00000X
OH57.007421207X00000X
OH35.093865207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2987460Medicaid
OH4273943Medicare PIN