Provider Demographics
NPI:1184851479
Name:BHOJRAJ, ANGELA J (MD)
Entity Type:Individual
Prefix:
First Name:ANGELA
Middle Name:J
Last Name:BHOJRAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:J
Other - Last Name:PATANKAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3823 TRUEMAN CT
Mailing Address - Street 2:
Mailing Address - City:HILLIARD
Mailing Address - State:OH
Mailing Address - Zip Code:43026-2496
Mailing Address - Country:US
Mailing Address - Phone:614-876-9558
Mailing Address - Fax:614-876-9570
Practice Address - Street 1:3823 TRUEMAN CT
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-2496
Practice Address - Country:US
Practice Address - Phone:614-876-9558
Practice Address - Fax:614-876-9570
Is Sole Proprietor?:No
Enumeration Date:2009-06-15
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.099236207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH00712231Medicaid
OHH146170Medicare PIN