Provider Demographics
NPI:1912233917
Name:PAHWA, ASHVARYA
Entity Type:Individual
Prefix:MS
First Name:ASHVARYA
Middle Name:
Last Name:PAHWA
Suffix:
Gender:F
Credentials:
Other - Prefix:MRS
Other - First Name:ASHVARYA
Other - Middle Name:
Other - Last Name:SAHNI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3201 W COMMERCIAL BLVD
Mailing Address - Street 2:SUITE 116
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33309-3440
Mailing Address - Country:US
Mailing Address - Phone:866-943-5884
Mailing Address - Fax:866-895-4856
Practice Address - Street 1:3201 W COMMERCIAL BLVD
Practice Address - Street 2:SUITE 116
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3440
Practice Address - Country:US
Practice Address - Phone:866-943-5884
Practice Address - Fax:866-895-4856
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2009-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI550104340225100000X
NY031149225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist