Provider Demographics
NPI:1336438001
Name:BOJANA BJEKIC-BHARDWAJ MD PA
Entity Type:Organization
Organization Name:BOJANA BJEKIC-BHARDWAJ MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PD
Authorized Official - Prefix:
Authorized Official - First Name:BOJANA
Authorized Official - Middle Name:
Authorized Official - Last Name:BJEKIC-BHARDWAJ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:305-932-2552
Mailing Address - Street 1:PO BOX 2631
Mailing Address - Street 2:
Mailing Address - City:HALLANDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33008-2631
Mailing Address - Country:US
Mailing Address - Phone:305-932-2552
Mailing Address - Fax:
Practice Address - Street 1:21355 E DIXIE HWY
Practice Address - Street 2:STE 102
Practice Address - City:AVENTURA
Practice Address - State:FL
Practice Address - Zip Code:33180-1238
Practice Address - Country:US
Practice Address - Phone:305-932-2552
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-04
Last Update Date:2011-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME81703207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty