Individual
RAJENDRA P MAHAJAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2060 E PARRISH AVE, OWENSBORO, KY 42303-1448
(270) 684-5034
(270) 685-1873
Mailing address
2060 E PARRISH AVE, OWENSBORO, KY 42303-1448
(270) 684-5034
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28153037A
IN
207Q00000X
Family Medicine Physician
41334
KY
207Q00000X
Family Medicine Physician
MD429594
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000527309
BCBS
KY
01
—
000000736440
ANTHEM BCBS
KY
01
—
014582
HIGHMARK - GROUP
PA
01
—
50035630
PASSPORT MEDICAID
KY
01
—
627606
WELLCARE
KY
05
—
7100038730
—
KY
01
—
93364
COVENTRYCARES
KY
01
—
P00471690
RR MEDICARE
KY
Enumeration date
09/16/2006
Last updated
01/13/2023
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