Provider Demographics
NPI:1932411584
Name:MAHAJAN, AMAN (MD)
Entity Type:Individual
Prefix:
First Name:AMAN
Middle Name:
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 1:4600 W SCHROEDER DR
Mailing Address - Street 2:ROGERS MEMORIAL HOSPITAL
Mailing Address - City:BROWN DEER
Mailing Address - State:WI
Mailing Address - Zip Code:53223-1469
Mailing Address - Country:US
Mailing Address - Phone:414-865-2500
Mailing Address - Fax:414-797-0804
Practice Address - Street 1:4600 W SCHROEDER DR
Practice Address - Street 2:ROGERS MEMORIAL HOSPITAL
Practice Address - City:BROWN DEER
Practice Address - State:WI
Practice Address - Zip Code:53223-1469
Practice Address - Country:US
Practice Address - Phone:414-865-2500
Practice Address - Fax:414-797-0804
Is Sole Proprietor?:No
Enumeration Date:2010-07-12
Last Update Date:2015-06-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WI62762-202084P0800X
IL0361328602084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry