Provider Demographics
NPI:1245226604
Name:MAHAJAN, ANIL K (MD)
Entity Type:Individual
Prefix:DR
First Name:ANIL
Middle Name:K
Last Name:MAHAJAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2521 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-3093
Mailing Address - Country:US
Mailing Address - Phone:610-539-3221
Mailing Address - Fax:610-539-3222
Practice Address - Street 1:2521 W MAIN ST
Practice Address - Street 2:
Practice Address - City:NORRISTOWN
Practice Address - State:PA
Practice Address - Zip Code:19403-3093
Practice Address - Country:US
Practice Address - Phone:610-539-3221
Practice Address - Fax:610-539-3222
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD471776207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD014866S66Medicare ID - Type UnspecifiedINDIVIDUAL MEDICARE #