Healthcare Provider Details

I. General information

NPI: 1780656173
Provider Name (Legal Business Name): RAJESH ANEJA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/02/2006
Last Update Date: 06/30/2021
Certification Date: 06/10/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3705 5TH AVE ONE CHILDREN'S HOSPITAL DRIVE
PITTSBURGH PA
15213-2584
US

IV. Provider business mailing address

4401 PENN AVE FACULTY PAVILION SUITE 2000
PITTSBURGH PA
15224
US

V. Phone/Fax

Practice location:
  • Phone: 412-692-5164
  • Fax:
Mailing address:
  • Phone: 412-692-6369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License NumberMD425241
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberMD425241
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: