Provider Demographics
NPI:1053706168
Name:AHLUWALIA, MANMEET SINGH (DO)
Entity type:Individual
Prefix:
First Name:MANMEET
Middle Name:SINGH
Last Name:AHLUWALIA
Suffix:
Gender:M
Credentials:DO
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Other - Credentials:
Mailing Address - Street 1:100 N ACADEMY AVE # M
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-4903
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:100 N ACADEMY AVE
Practice Address - Street 2:
Practice Address - City:DANVILLE
Practice Address - State:PA
Practice Address - Zip Code:17822-9800
Practice Address - Country:US
Practice Address - Phone:570-271-6045
Practice Address - Fax:570-271-6542
Is Sole Proprietor?:No
Enumeration Date:2015-04-06
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
NY207R00000X
PAOS021003207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine