Provider Demographics
NPI:1063049807
Name:MAHAJAN, BIRAAJ MANOHAR (MD)
Entity type:Individual
Prefix:DR
First Name:BIRAAJ
Middle Name:MANOHAR
Last Name:MAHAJAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:6033 NORTH AVE APT 1E
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1284
Mailing Address - Country:US
Mailing Address - Phone:786-371-9391
Mailing Address - Fax:
Practice Address - Street 1:1775 DEMPSTER ST # 48
Practice Address - Street 2:
Practice Address - City:PARK RIDGE
Practice Address - State:IL
Practice Address - Zip Code:60068-1143
Practice Address - Country:US
Practice Address - Phone:847-723-2210
Practice Address - Fax:847-723-3394
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2025-08-03
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL036.1763562086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery