Individual
DR. RAJNISH MAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
833 CHESTNUT ST, SUITE 210, PHILA, PA 19107-4414
(215) 955-9474
(215) 503-5698
Mailing address
833 CHESTNUT ST, SUITE 210, PHILA, PA 19107-4414
(215) 955-9474
(215) 503-5698
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD064788L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019716230003
—
PA
01
—
MA1492226
HIGHMARK BLUE SHIELD
PA
Enumeration date
07/22/2006
Last updated
07/08/2007
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