Provider Demographics
NPI:1366706996
Name:BHOJANI, SHABNAMZEHRA (MD)
Entity type:Individual
Prefix:DR
First Name:SHABNAMZEHRA
Middle Name:
Last Name:BHOJANI
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 1:11011 QUEENS BLVD STE 1CC
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-5438
Mailing Address - Country:US
Mailing Address - Phone:718-790-1140
Mailing Address - Fax:718-880-1990
Practice Address - Street 1:622 W 168TH ST PH 130
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10032-3720
Practice Address - Country:US
Practice Address - Phone:718-790-1140
Practice Address - Fax:718-880-1990
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-28
Last Update Date:2019-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA1624612084P0800X
NY2654822084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry