| Provider / Organization | NPI | Date Certified |
|---|---|---|
| NAMIT MAHAJAN | 1043476815 | 2023-12-21 |
Namit Mahajan [M] graduated in 2007 from Saint Louis University School Of Medicine and primarily specializes in Interventional Radiology.
Namit Mahajan is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1043476815. Registration indicates Namit Mahajan is a provider of services with a specialization in Diagnostic Radiology (Radiology) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Vascular & Interventional Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| PECOS ID | 3173764263 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Namit Mahajan M.D. |
| Practice Office Address | 2810 N PARHAM RD STE 315 RICHMOND, VA US |
| Practice Office Telephone | 8042888327 |
| Practice Office Fax | 8042823744 |
| Mailing Address | 2810 N PARHAM RD STE 315 RICHMOND, VA 232944424 US |
| Business Telephone | 8042888327 |
| Business Fax | 8042823744 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 8006 Discovery Dr Ste 301 | Richmond, VA 232298600 | 8042727064 / 8047261536 |
| Code | Practice | License No State |
|---|---|---|
| 2085R0202X | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | 0101253963
VA |
| 2085R0204X PRIMARY | Allopathic & Osteopathic Physicians Radiology Radiology: Vascular & Interventional Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Vascular & Interventional Radiology Allopathic & Osteopathic Physicians Radiology | 0101253963
VA |
| 1043476815 | MEDICAID | VA | |
| 224564 | OTHER | ANTHEM |