Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ajay Pancholy, MD

Individual provider Neuroradiology Physician · NPI 1144289539

Dr. Ajay Pancholy, MD is a Diagnostic Radiology in El Segundo, California. Graduated from Emory University School of Medicine in 1999, 27 years ago. Practices with Mori Bean and Brooks Inc, a 976-clinician group and accepts Medicare assignment. Licensed in Florida.

Years since qualifying
27
Trained at
Emory University School of Medicine
Licensed in
FL
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2330 Utah Ave
El Segundo, CA 90245-4817
Phone: (424) 290-8004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence ME89899 (FL)
Neuroradiology Physician Taxonomy 2085N0700X · Licence ME89899 (FL)

Record details

NPI number1144289539
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 22, 2006
Last updated in NPPESJanuary 21, 2025
Certification dateJanuary 21, 2025
Mailing address2330 Utah Ave, El Segundo, CA 90245-4817

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolEMORY UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Mori Bean And Brooks Inc — 976 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations27 on file with Medicare

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