Provider Demographics
NPI:1447420146
Name:RAJESH BAJAJ, M.D.
Entity Type:Organization
Organization Name:RAJESH BAJAJ, M.D.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAJESH
Authorized Official - Middle Name:
Authorized Official - Last Name:BAJAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-337-2684
Mailing Address - Street 1:147 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-1420
Mailing Address - Country:US
Mailing Address - Phone:717-337-2684
Mailing Address - Fax:717-337-0446
Practice Address - Street 1:147 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:GETTYSBURG
Practice Address - State:PA
Practice Address - Zip Code:17325-1420
Practice Address - Country:US
Practice Address - Phone:717-337-2684
Practice Address - Fax:717-337-0446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2008-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041602-L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0013942400002Medicaid
100006997OtherRAILROAD MEDICARE
34084OtherGEISINGER
111551OtherUNISON HEALTH PLANS
133278OtherHIGHMARK BC BS
02584100OtherCAPTIAL BLUE CROSS
133278OtherHIGHMARK BC BS
F22006Medicare UPIN