Provider Demographics
NPI:1245331883
Name:BOJANOWSKI, MARGARET E (MD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:E
Last Name:BOJANOWSKI
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 1:3400 DATA DR
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-7956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3000 Q ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-7058
Practice Address - Country:US
Practice Address - Phone:916-733-5701
Practice Address - Fax:916-859-1671
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG57339207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA000810342876OtherPHCS
CA024612OtherHEALTH NET
CA10720196OtherFIRST HEALTH
CA1089804OtherGREAT WEST
CA4507358OtherAETNA
CA90026756OtherPACIFICARE
CA00G573390Medicaid
CAMCMG167600OtherWESTERN HEALTH ADVANTAGE
CA44282OtherINTERPLAN
CAG57339OtherBLUE CROSS
CA1452859OtherUNTIED
CA00G573390OtherBLUE SHIELD
CA5288353OtherCIGNA
CA4507358OtherAETNA
CA00G573390Medicare ID - Type Unspecified