Provider Demographics
NPI:1699102541
Name:AHLUWALIA, SWADESH KAUR (MD, MS, MPH)
Entity type:Individual
Prefix:MISS
First Name:SWADESH
Middle Name:KAUR
Last Name:AHLUWALIA
Suffix:
Gender:F
Credentials:MD, MS, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 CORTEZ ROAD
Mailing Address - Street 2:
Mailing Address - City:SOUTH CANAAN
Mailing Address - State:PA
Mailing Address - Zip Code:18459
Mailing Address - Country:US
Mailing Address - Phone:570-937-4650
Mailing Address - Fax:
Practice Address - Street 1:1704 CORTEZ ROAD
Practice Address - Street 2:
Practice Address - City:SOUTH CANAAN
Practice Address - State:PA
Practice Address - Zip Code:18459
Practice Address - Country:US
Practice Address - Phone:570-937-4650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-08
Last Update Date:2013-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD-038971-L208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAF23262Medicare UPIN