Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | A141525 | CA |
NPI | 1053632356 |
---|---|
Provider Name | Rohan Ahluwalia |
First Address | Los Altos, CA 94022-1408 |
Second Address | Santa Cruz, CA 95065-1702 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2010 |
Last Update Date | 09/08/2019 |