Provider Demographics
NPI:1336442193
Name:AHUJA, AKASH (RPT)
Entity type:Individual
Prefix:
First Name:AKASH
Middle Name:
Last Name:AHUJA
Suffix:
Gender:M
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2195 S LOVINGTON DR
Mailing Address - Street 2:APT 102
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48083-4366
Mailing Address - Country:US
Mailing Address - Phone:248-275-6815
Mailing Address - Fax:
Practice Address - Street 1:2195 S LOVINGTON DR
Practice Address - Street 2:APT 102
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48083-4366
Practice Address - Country:US
Practice Address - Phone:248-275-6815
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-12-15
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501014345225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist