Individual
RAJESH G. BHAGAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
292 EAST BROWN STREET, EAST STROUDSBURG, PA 18301-3006
(570) 424-1790
(570) 424-1791
Mailing address
292 EAST BROWN STREET, EAST STROUDSBURG, PA 18301-3006
(570) 424-1790
(570) 424-1791
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD-030862-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104119
HIGHMARK BLUE SHIELD
PA
01
—
440783
FIRST PRIORITY HEALTH
PA
Enumeration date
08/11/2005
Last updated
06/14/2010
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