Ahuja, Pavan

Ahuja, Pavan is an individual health care provider with primary practice located at 303 S Nappanee St , Elkhart IN 46514-2066. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Ahuja, Pavan can be contacted via phone (574) 296-3307.

Contact Information

Primary practice address
303 S Nappanee St Elkhart IN 46514-2066
Fax: (574) 296-3309
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01059823A Indiana

Profile Details

NPI number 1578566675
LBN Legal business name Ahuja, Pavan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 9th, 2010 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1578566675 NPPES
Indiana MEDICAID 200500210

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