1871755652 NPI number — DR.H.C.AHUJA DDS A P C

Table of content: (NPI 1871755652)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1871755652 NPI number — DR.H.C.AHUJA DDS A P C

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DR.H.C.AHUJA DDS A P C
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1871755652
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/05/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3719 ARLINGTON AVE STE 2
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RIVERSIDE
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
92506-2653
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
951-352-4959
Provider Business Mailing Address Fax Number:
951-359-1297

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3719 ARLINGTON AVE STE 2
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
RIVERSIDE
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
92506-2653
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
951-530-8585
Provider Business Practice Location Address Fax Number:
951-359-1297
Provider Enumeration Date:
07/02/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
AHUJA
Authorized Official First Name:
HARKISHAN
Authorized Official Middle Name:
C
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
951-530-8585

Provider Taxonomy Codes

  • Taxonomy code: 1223X0400X , with the licence number:  47029 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)