Provider Demographics
NPI:1871478792
Name:AHUJA, HARVINDER (RN)
Entity type:Individual
Prefix:
First Name:HARVINDER
Middle Name:
Last Name:AHUJA
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2945 MUSKRAT WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95834-2616
Mailing Address - Country:US
Mailing Address - Phone:916-952-1201
Mailing Address - Fax:
Practice Address - Street 1:1532 ROSALIND ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95838-4535
Practice Address - Country:US
Practice Address - Phone:916-952-1201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95309883163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse