Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 25MA09289800 | NJ |
N | 207Q00000X | Family Doctor | 268162 | NY |
N | 207Q00000X | Family Doctor | 53010 | CT |
Y | 207QS0010X | Family Doctor - Sports Medicine | 53010 | CT |
NPI | 1255587218 |
---|---|
Provider Name | Dr. Moha Kulkarni Ahuja |
First Address | White Plains, NY 10604-2901 |
Second Address | Greenwich, CT 06831-5151 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2008 |
Last Update Date | 31/01/2019 |