Provider Demographics
NPI:1275575649
Name:BHOJRAJ, RAJKUMAR GOVIND (MD)
Entity Type:Individual
Prefix:DR
First Name:RAJKUMAR
Middle Name:GOVIND
Last Name:BHOJRAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 ASHTON KNOLLS LN
Mailing Address - Street 2:
Mailing Address - City:ASHTON
Mailing Address - State:MD
Mailing Address - Zip Code:20861-3647
Mailing Address - Country:US
Mailing Address - Phone:301-570-3555
Mailing Address - Fax:
Practice Address - Street 1:704 GORMAN AVE
Practice Address - Street 2:SUITE T1
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-3947
Practice Address - Country:US
Practice Address - Phone:301-498-9300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2008-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD23181207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD402765500Medicaid
C88820Medicare UPIN
MD402765500Medicaid