MEDICARE: VIJAYA S DONTU 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
1	208M00000X	Hospitalist Physician	MD434227	PA
2	208M00000X	Hospitalist Physician	110152	GA
3	207R00000X	Internal Medicine Physician	MD434227	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1569319	OTHER	PA	GATEWAY-WMG
2	2038807	OTHER	PA	HIGHMARK BLUE SHIELD
3	30103495	OTHER	PA	AMERIHEALTH MERCY-WMG
4	20090419	OTHER	PA	AMERIHEALTH MERCY-WMG
5	50077532	OTHER	PA	CAPITAL BLUE CROSS-WMG
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	9111163	OTHER	PA	AETNA
8	209952	OTHER	PA	JOHNS HOPKINS
9	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	117792	OTHER	PA	GEISINGER HEALTH PLAN
11	927815-01	OTHER	MD	CAREFIRST MD BCBS
12	30131835	OTHER	PA	AMERIHEALTH MERCY - WMG

General Provider Information

NPI Number	:	1588852172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VIJAYA S DONTU MD

Provider Business Mailing Address
First Line	:	3421 CONCORD RD
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17402-9001
Country	:	US
Telephone Number	:	717-851-4005
Fax Number	:	717-812-2495

Provider Business Practice Location Address
First Line	:	1001 S GEORGE ST FL 4
Second Line	:
City	:	YORK
State	:	PA
Zip	:	17403-3676
Country	:	US
Telephone Number	:	717-851-4005
Fax Number	:	717-812-2495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/09/2007
Last Update Date	:	03/03/2026

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