Provider Demographics
NPI:1962616474
Name:AHUJA, AVNIT (MD)
Entity type:Individual
Prefix:DR
First Name:AVNIT
Middle Name:
Last Name:AHUJA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:7702 E PARHAM RD STE 101
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4375
Mailing Address - Country:US
Mailing Address - Phone:804-288-7901
Mailing Address - Fax:804-273-9167
Practice Address - Street 1:7702 E PARHAM RD STE 101
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23294-4375
Practice Address - Country:US
Practice Address - Phone:804-288-7901
Practice Address - Fax:804-273-9167
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101241431207RR0500X, 174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA00X875Q08Medicare PIN