Provider Demographics
NPI:1801862057
Name:MAHAJAN, ANAND (MD)
Entity Type:Individual
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First Name:ANAND
Middle Name:
Last Name:MAHAJAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 E PENN SQ FL 9
Mailing Address - Street 2:CHCA NEONATOLOGY
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19107-3377
Mailing Address - Country:US
Mailing Address - Phone:267-425-9232
Mailing Address - Fax:267-425-9299
Practice Address - Street 1:690 GOOD DR
Practice Address - Street 2:CHCA NEONATOLOGY @ LANCASTER GENERAL
Practice Address - City:LANCASTER
Practice Address - State:PA
Practice Address - Zip Code:17601-2433
Practice Address - Country:US
Practice Address - Phone:717-544-3700
Practice Address - Fax:717-544-3371
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2023-12-20
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Provider Licenses
StateLicense IDTaxonomies
PAMD039699L2080N0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080N0001XAllopathic & Osteopathic PhysiciansPediatricsNeonatal-Perinatal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1512463OtherGATEWAY
PA20013700OtherAMERIHEALTH MERCY
PA3243121OtherAETNA - HMO
PA50056077OtherKEYSTONE HEALTH PLAN CENTRAL
PA000502036OtherHIGHMARK
PA34428OtherGEISINGER
PA0264365000OtherINDEPENDENCE BLUE CROSS
PA0264365000OtherAMERIHEALTH 65 / IBC
PA30007497OtherKEYSTONE MERCY
PA50056077OtherCAPITAL BLUE CROSS
PA7554493OtherAETNA - NON HMO
PA000000126873OtherUNISON
PA001393403 0005Medicaid
PA0264365000OtherINDEPENDENCE BLUE CROSS