Anita M. Bajaj, MD
Individual provider Active NPI Diagnostic Radiology Physician · Philadelphia, PA
NPI 1831137264 · NPPES record last updated May 26, 2009
Key facts
- NPI
- 1831137264
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD436119 (PA)
- Practice address
- 3998 Red Lion Road
Philadelphia, PA 19114-1436 - Phone
- (215) 612-4021
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A44672 | CA | MD | Diagnostic Radiology Physician |
Practice roles (6 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Open Advantage MRI VI, Inc | Past |
Accepting new patients | |
| Advantage Plus MRI, Inc | Past | Accepting new patients | |
| Open Advantage MRI III, Inc | Past | Accepting new patients | |
| Diagnostic Imaging Inc | Diagnostic Radiology | Past | Accepting new patients |
| Open Advantage MRI II | Past | Accepting new patients | |
| Advantage MRI Roseville LP | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | A44672 | CA | |
| Diagnostic Radiology Physician | 2085R0202X | MD436119 | PA | Yes |
Addresses
Primary practice location
3998 Red Lion Road
Philadelphia, PA 19114-1436
Mailing address
4 Neshaminy Interplex
Suite 209
Trevose, PA 19053-6940
Phone (215) 244-3070
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A446720 | Medicaid | CA | |
| 00A446720 | Other | CA | BLUE SHIELD |
| 102248295-0001 | Medicaid | PA | |
| GR0106037 | Medicaid | CA |
Other providers in Philadelphia, PA
- Woei-Nan Bair
- Emily J Baird
- Melissa Baird
- Randy Allyn Baird
- Mina Baisch
- Archna Bajaj
- Gela Bajelidze
- Joanna Marie Bajgier
- Dheeraj Baji
- Geoffrey Libarnes Bajwa
All providers in Philadelphia, PA · Diagnostic Radiology Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.