Provider Demographics
NPI:1841267473
Name:AHUJA, RITA (MD)
Entity type:Individual
Prefix:DR
First Name:RITA
Middle Name:
Last Name:AHUJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3071 PERRY AVE
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-4111
Mailing Address - Country:US
Mailing Address - Phone:718-231-6700
Mailing Address - Fax:718-515-5454
Practice Address - Street 1:3071 PERRY AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-4111
Practice Address - Country:US
Practice Address - Phone:718-231-6700
Practice Address - Fax:718-515-5454
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2011-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY145263208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00562616Medicaid
NY2695753OtherGHI
NY00145263OtherMETRO PLUS
NY042897OtherAETNA US HEALTHCARE
NY614Z61OtherBLUE CROSS BLUE SHEILD
NY0000000191310009OtherGHI HMO
NY000060402990OtherFIDELIS CARE
NY0500365OtherUS HEALTH CARE
NY145263OtherHIP
NY145263-B14OtherHEALTH FIRST
NY3C3294OtherHEALTH NET
NY119131OtherWELLCARE
NYP432106OtherOXFORD HEALTH PLAN
NY5544488/016OtherCIGNA
NYP432106OtherOXFORD HEALTH PLAN
NY44A041Medicare PIN