Provider Demographics
NPI:1619173192
Name:ANUJA ROHATGI M.D.P.C.
Entity type:Organization
Organization Name:ANUJA ROHATGI M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRIMARY CARE PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:ANUJA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROHATGI
Authorized Official - Suffix:
Authorized Official - Credentials:MDPC
Authorized Official - Phone:610-559-0661
Mailing Address - Street 1:117 N 4TH ST
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18042-3503
Mailing Address - Country:US
Mailing Address - Phone:610-559-0661
Mailing Address - Fax:610-559-7416
Practice Address - Street 1:117 N 4TH ST
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18042-3503
Practice Address - Country:US
Practice Address - Phone:610-559-0661
Practice Address - Fax:610-559-7416
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2014-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD070834L170100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical GeneticsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP003167OtherGATEWAY MEDICARE ASSURED
PA2279898000OtherAMERIHEALTH MERCY
PA7295262OtherAETNA
PA8073224OtherCIGNA
PA0018245200001OtherMEDICAL ASSISTANCE
PA1600530OtherPA BLUE SHIELD
PAP00127629OtherRAILROAD MEDICARE
PAP3211469OtherOXFORD HEALTH PLAN
PAP003167OtherGATEWAY HEALTH PLAN
PAP003167OtherGATEWAY MEDICARE ASSURED