Provider Demographics
NPI:1821070947
Name:ADROJA, BHARAT G (MD)
Entity Type:Individual
Prefix:DR
First Name:BHARAT
Middle Name:G
Last Name:ADROJA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1085 REDWING ROAD
Mailing Address - Street 2:
Mailing Address - City:LOCK HAVEN
Mailing Address - State:PA
Mailing Address - Zip Code:17745-1504
Mailing Address - Country:US
Mailing Address - Phone:570-606-3508
Mailing Address - Fax:570-748-1510
Practice Address - Street 1:930 BELLEFONTE AVE
Practice Address - Street 2:SUITE 105
Practice Address - City:LOCK HAVEN
Practice Address - State:PA
Practice Address - Zip Code:17745-2754
Practice Address - Country:US
Practice Address - Phone:570-748-1550
Practice Address - Fax:570-748-1510
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-15
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD073482L208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA110248340OtherMEDICARE - RAILROAD
PA77292OtherGEISINGER HEALTH PLAN
PA001450184OtherPA BLUESHIELD
PA2111115OtherFIRST HEALTH
PA7892250OtherAETNA - PPO
PA0019412680002Medicaid
PA002995OtherBC NE PA
PA3184469OtherAETNA- HMO
PAH47689Medicare UPIN
PA110248340OtherMEDICARE - RAILROAD