Provider Demographics
NPI:1477669117
Name:BHOJRAJ, NEHA (OD)
Entity Type:Individual
Prefix:DR
First Name:NEHA
Middle Name:
Last Name:BHOJRAJ
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22760 DEER RUN CT
Mailing Address - Street 2:
Mailing Address - City:MURRIETA
Mailing Address - State:CA
Mailing Address - Zip Code:92562-3077
Mailing Address - Country:US
Mailing Address - Phone:312-560-4401
Mailing Address - Fax:
Practice Address - Street 1:31515 RANCHO PUEBLO RD
Practice Address - Street 2:SUITE 103
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92592-4836
Practice Address - Country:US
Practice Address - Phone:951-303-6111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-23
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13159T152W00000X
IL046009466152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILU90394Medicare UPIN