MEDICARE: RAJESH BHOLA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician	M-9440	ID

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1356365001
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAJESH BHOLA MD

Provider Business Mailing Address
First Line	:	1344 KING ST STE 104
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98229-6215
Country	:	US
Telephone Number	:	360-594-4002
Fax Number	:	360-594-4006

Provider Business Practice Location Address
First Line	:	1344 KING ST STE 104
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98229-6215
Country	:	US
Telephone Number	:	360-594-4002
Fax Number	:	360-594-4006

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/26/2006
Last Update Date	:	04/06/2026

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