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

Dr. Ajita Deodhar, MD

Individual provider Diagnostic Radiology Physician · NPI 1740593458

Dr. Ajita Deodhar, MD is a Diagnostic Radiology in Los Angeles, California. Qualified in 2005, 21 years ago. Practices with St Jude Radiology Medical Group Inc, a 61-clinician group and accepts Medicare assignment. Licensed in California, Oregon and Pennsylvania.

Years since qualifying
21
Licensed in
CA, OR, PA
In the registry since
2010
Specialties on file
3
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

1520 San Pablo St
Los Angeles, CA 90033-5310
Phone: (323) 442-8541
Fax: (323) 442-8755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence A116266 (CA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MT194299 (PA)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 160765 (OR)

Record details

NPI number1740593458
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 22, 2010
Last updated in NPPESJuly 2, 2014

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice St Jude Radiology Medical Group Inc — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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