Individual
DR. RAJESH R PANCHWAGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2350 FREEDOM WAY, SUITE 200, YORK, PA 17402-8200
(717) 812-5120
(717) 741-3075
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-5120
(717) 741-3075
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS012330
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019571230002
—
PA
01
—
10016481
RAILROAD MEDICARE
PA
01
—
1401155
HIGHMARK BLUE SHIELD
PA
01
—
1527731
GATEWAY-WMG
PA
01
—
30089002
AMERIHEALTH MERCY-WMG
PA
01
—
416565
UPMC-WMG
PA
01
—
50001532
CAPITAL BLUE CROSS
PA
01
—
973500
CAREFIRST MD BCBS-WMG
MD
Enumeration date
07/20/2005
Last updated
08/26/2021
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