Provider Demographics
NPI:1699262030
Name:AHUJA, RICHA RUCHIKA (CPT1)
Entity type:Individual
Prefix:
First Name:RICHA
Middle Name:RUCHIKA
Last Name:AHUJA
Suffix:
Gender:F
Credentials:CPT1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 PEREIRA AVE
Mailing Address - Street 2:
Mailing Address - City:TRACY
Mailing Address - State:CA
Mailing Address - Zip Code:95376-2748
Mailing Address - Country:US
Mailing Address - Phone:209-445-6253
Mailing Address - Fax:
Practice Address - Street 1:210 PEREIRA AVE
Practice Address - Street 2:
Practice Address - City:TRACY
Practice Address - State:CA
Practice Address - Zip Code:95376-2748
Practice Address - Country:US
Practice Address - Phone:209-445-6253
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-20
Last Update Date:2020-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACPT76344246RP1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy