Provider Demographics
NPI:1174801351
Name:MAHAJAN, NEERAJ (MD)
Entity type:Individual
Prefix:
First Name:NEERAJ
Middle Name:
Last Name:MAHAJAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
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Mailing Address - Street 1:LAHEY HEALTH PRIMARY CARE, BEVERLY
Mailing Address - Street 2:30 TOZER ROAD
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915
Mailing Address - Country:US
Mailing Address - Phone:978-927-7727
Mailing Address - Fax:978-927-4598
Practice Address - Street 1:LAHEY HEALTH PRIMARY CARE, BEVERLY
Practice Address - Street 2:30 TOZAR ROAD
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915
Practice Address - Country:US
Practice Address - Phone:978-927-7727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-22
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA269438207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine