Provider Demographics
NPI:1538227947
Name:AHLUWALIA, ANGELA (DC)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:
Last Name:AHLUWALIA
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13333 NE BEL RED RD
Mailing Address - Street 2:STE 210
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2332
Mailing Address - Country:US
Mailing Address - Phone:206-218-5001
Mailing Address - Fax:
Practice Address - Street 1:13333 NE BEL RED RD
Practice Address - Street 2:STE 210
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2332
Practice Address - Country:US
Practice Address - Phone:425-333-8111
Practice Address - Fax:425-333-8111
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2016-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH000034250111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor