Provider Demographics
NPI:1619933207
Name:BAJAJ, RAJESH (MD)
Entity Type:Individual
Prefix:
First Name:RAJESH
Middle Name:
Last Name:BAJAJ
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 1:147 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:GETTYSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17325-1407
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:17325-1407
Practice Address - Country:US
Practice Address - Phone:717-337-2684
Practice Address - Fax:717-337-0446
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD041602L207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA80705OtherGREAT WEST LIFE
PA20007629OtherAMERIHEALTH MERCY
PA23250OtherERIN GROUP ADMINISTRATORS
02584100OtherCAPITAL BLUE CROSS
PA1B07RNOtherBLUE CROSS/BLUE SHIELD
PA31053OtherSTATE FARM INSURANCE CO.
60054OtherAETNA
PA62308OtherCIGNA
PA133278OtherKEYSTONE HEALTH PLAN
1B07OtherCAREFIRST BC/BS
PA52148OtherMAMSI HEALTH PLANS
PA111551OtherUNISON
PA87726OtherUNITED HEALTH CARE
269847OtherALLIANCE PPO/MAPSI
269847OtherALLIANCE PPO/MAPSI
PA31053OtherSTATE FARM INSURANCE CO.