MEDICARE: ADEA BAJGORA DMS, PA-C

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	363A00000X	Physician Assistant	MA067548	PA

General Provider Information

NPI Number	:	1720904089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADEA BAJGORA DMS, PA-C

Provider Business Mailing Address
First Line	:	2140 ARDMORE BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-4860
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 ARDMORE BLVD
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15221-4860
Country	:	US
Telephone Number	:	412-825-0500
Fax Number	:

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

Provider Enumeration Date	:	06/29/2026
Last Update Date	:	06/29/2026

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