1619933207 NPI number — RAJESH BAJAJ M.D.

Table of content: RAJESH BAJAJ M.D. (NPI 1619933207)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619933207 NPI number — RAJESH BAJAJ M.D.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
BAJAJ
Provider First Name:
RAJESH
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
M.D.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1619933207
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
147 N WASHINGTON ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
GETTYSBURG
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
17325-1407
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
717-337-2684
Provider Business Mailing Address Fax Number:
717-337-0446

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
147 N WASHINGTON ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GETTYSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
17325-1407
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
717-337-2684
Provider Business Practice Location Address Fax Number:
717-337-0446
Provider Enumeration Date:
04/24/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RG0100X , with the licence number:  MD041602L , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 80705 . This is a "GREAT WEST LIFE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 20007629 . This is a "AMERIHEALTH MERCY" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 23250 . This is a "ERIN GROUP ADMINISTRATORS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 02584100 . This is a "CAPITAL BLUE CROSS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 1B07RN . This is a "BLUE CROSS/BLUE SHIELD" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 31053 . This is a "STATE FARM INSURANCE CO." identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 60054 . This is a "AETNA" identifier . This identifiers is of the category "OTHER".
  • Identifier: 62308 . This is a "CIGNA" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 133278 . This is a "KEYSTONE HEALTH PLAN" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 1B07 . This is a "CAREFIRST BC/BS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 52148 . This is a "MAMSI HEALTH PLANS" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 111551 . This is a "UNISON" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 87726 . This is a "UNITED HEALTH CARE" identifier , issued by the state of ( PA ) . This identifiers is of the category "OTHER".
  • Identifier: 269847 . This is a "ALLIANCE PPO/MAPSI" identifier . This identifiers is of the category "OTHER".




Copyright © 2007-2024 www.npivalidator.com