Provider Demographics
NPI:1235245804
Name:BAJAJ, ROHINI (MD)
Entity Type:Individual
Prefix:
First Name:ROHINI
Middle Name:
Last Name:BAJAJ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 N SEMORAN BLVD
Mailing Address - Street 2:#101
Mailing Address - City:WINTER PARK
Mailing Address - State:FL
Mailing Address - Zip Code:32792-3800
Mailing Address - Country:US
Mailing Address - Phone:407-895-9500
Mailing Address - Fax:321-274-0266
Practice Address - Street 1:483 N SEMORAN BLVD
Practice Address - Street 2:#101
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-3800
Practice Address - Country:US
Practice Address - Phone:407-895-9500
Practice Address - Fax:321-274-0266
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME68287207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL27135OtherBCBS
FL378091100Medicaid
FL27135Medicare UPIN
FL378091100Medicaid