Provider Demographics
NPI:1740496355
Name:AHLUWALIA, VIKAS (DPT)
Entity type:Individual
Prefix:
First Name:VIKAS
Middle Name:
Last Name:AHLUWALIA
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6632 TELEGRAPH RD STE 296
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48301-3012
Mailing Address - Country:US
Mailing Address - Phone:248-301-9219
Mailing Address - Fax:248-282-8860
Practice Address - Street 1:29201 TELEGRAPH RD STE 220
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48034-7645
Practice Address - Country:US
Practice Address - Phone:248-301-9219
Practice Address - Fax:248-282-8860
Is Sole Proprietor?:No
Enumeration Date:2007-05-14
Last Update Date:2025-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501005266225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI5501005266OtherPT LICENSE