MEDICARE: HIMANSHU AJRAWAT 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	390200000X	Student in an Organized Health Care Education/Training Program
2	2085R0204X	Vascular & Interventional Radiology Physician	2021-01269	NC
3	2085R0202X	Diagnostic Radiology Physician	2021-01269	NC

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

General Provider Information

NPI Number	:	1568993780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIMANSHU AJRAWAT MD

Provider Business Mailing Address
First Line	:	BOX 3808 DUMC
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-0001
Country	:	US
Telephone Number	:	772-607-2669
Fax Number	:

Provider Business Practice Location Address
First Line	:	2301 ERWIN ROAD
Second Line	:
City	:	DURHAM
State	:	NC
Zip	:	27710-1407
Country	:	US
Telephone Number	:	919-684-7293
Fax Number	:	919-684-7151

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

Provider Enumeration Date	:	03/21/2017
Last Update Date	:	12/11/2025

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