Individual provider · Type 1 NPI

Elysa Widjaja, MD

Pediatric Radiology Physician · Cincinnati, OH

NPI number 1184331522 Active

Practice location

3333 Burnet Ave, Ml 5031
Cincinnati, OH 45229-3026

Call (513) 636-4251 Map

Fax (513) 636-8145

Other practice locations

  • Lurie Children's Hospital, 225 E. Chicago Avenue, Chicago, IL 60611 · (312) 227-3475
  • 676 N Saint Clair St Ste 800, Chicago, IL 60611-2978 · (312) 695-5753

Specialties and licenses

TaxonomyCodeLicense
Pediatric Radiology Physician 2085P0229X036.161747 (IL)
Diagnostic Radiology Physician 2085R0202X036161747 (IL)
Pediatric Radiology Physician Primary 2085P0229X35.155182 (OH)

Pediatric Radiology Physician: A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital…

2,257 other providers at this address

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About NPI 1184331522

Elysa Widjaja, MD's National Provider Identifier is 1184331522, issued on Nov 4, 2022. The primary taxonomy on file is Pediatric Radiology Physician (2085P0229X), and the practice location is in Cincinnati, OH. The record was last updated on Feb 12, 2026.