Provider Demographics
NPI:1942440276
Name:BHOJRAJ, AMIT R (MD)
Entity Type:Individual
Prefix:
First Name:AMIT
Middle Name:R
Last Name:BHOJRAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4488 W BROAD ST STE 3
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-5610
Mailing Address - Country:US
Mailing Address - Phone:614-453-1589
Mailing Address - Fax:614-853-8570
Practice Address - Street 1:4488 W BROAD ST STE 3
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-5610
Practice Address - Country:US
Practice Address - Phone:614-453-1589
Practice Address - Fax:614-853-8570
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2023-07-31
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35.098069207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH076690Medicare PIN