Provider Demographics
NPI:1972588556
Name:BHOJWANI, RAJESH RAM (MD)
Entity type:Individual
Prefix:DR
First Name:RAJESH
Middle Name:RAM
Last Name:BHOJWANI
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 1:11995 SINGLETREE LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:EDEN PRAIRIE
Mailing Address - State:MN
Mailing Address - Zip Code:55344-5347
Mailing Address - Country:US
Mailing Address - Phone:952-595-1242
Mailing Address - Fax:952-942-3361
Practice Address - Street 1:513 N THOMAS ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22203-2405
Practice Address - Country:US
Practice Address - Phone:952-595-1242
Practice Address - Fax:952-942-3361
Is Sole Proprietor?:No
Enumeration Date:2005-12-07
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD318312085N0700X
CO430402085R0202X
VA01012365112085R0202X
FLME923532085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8V9090OtherBCBS
VT1012512Medicaid
AZAZ0449230OtherBCBS
0383421OtherCIGNA
VT00069214OtherBCBS
01Y010162NH01OtherANTHEM BCBS
TN4136177OtherBCBS
MS5124754Medicaid
VAP00455450OtherMEDICARE RAILROAD CARRIER
387909OtherMVP
TX8V0180OtherBCBS
NH1012512Medicaid
AZ113113Medicaid
MS5124754Medicaid
387909OtherMVP