Individual
ANGELA P ANANTHARAJ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1001 S GEORGE ST, YORK, PA 17403-3676
(717) 851-4005
(717) 812-2495
Mailing address
1803 MOUNT ROSE AVE, STE B3, YORK, PA 17403-3026
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD431293
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101959345
—
PA
01
—
109843
GEISINGER
PA
01
—
1563944
GATEWAY-WMG
PA
01
—
1973444
HIGHMARK BLUE SHIELD
PA
01
—
20064469
AMERIHEALTH MERCY-WMG
PA
01
—
211398
JOHNS HOPKINS
PA
01
—
2161248
MAMSI WMG
—
01
—
217568
UNISON-WMG
PA
01
—
2852804000
AMERIHEALTH 65PA
PA
01
—
50070969
CAPITAL BLUE CROSS-WMG
PA
01
—
897873
CAREFIRST MD BCBS
MD
01
—
9322074
AETNA
PA
Enumeration date
06/29/2007
Last updated
12/14/2021
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