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NPI Code Detail

MEDICARE: MR. RADHA KRISHNA MAHAJAN MD

MEDICARE:  MR. RADHA KRISHNA MAHAJAN  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD020142EPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1255311031
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. RADHA KRISHNA MAHAJAN MD
Provider Business Mailing Address
First Line : 2521 W MAIN STREET
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3093
Country : US
Telephone Number : 610-539-3221
Fax Number : 610-539-3222
Provider Business Practice Location Address
First Line : 2521 W MAIN ST
Second Line :
City : NORRISTOWN
State : PA
Zip : 19403-3093
Country : US
Telephone Number : 610-539-3221
Fax Number : 610-539-3222
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2006
Last Update Date : 12/21/2017

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Directions to “ MR. RADHA KRISHNA MAHAJAN MD” Practice Location

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