MEDICARE: HAMMAD H. BOKHARI 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	207Q00000X	Family Medicine Physician	38271	KY
2	207Q00000X	Family Medicine Physician	01057661A	IN

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00149170	OTHER	KY	RAILROAD MEDICARE
3	P01729280	OTHER	KY	RAILROAD MEDICARE - PALMETTO
7	DA2673	OTHER	KY	RR MEDICARE GRP

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CS1632000276	OTHER	KY	CARESOURCE
4	000001014920	OTHER	KY	ANTHEM BCBS
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	000000305211	OTHER	KY	ANTHEM PROVIDER ID
8	CS1632000276	OTHER	KY	HUMANA-CARESOURSE

General Provider Information

NPI Number	:	1104832161
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HAMMAD H. BOKHARI MD

Provider Business Mailing Address
First Line	:	2916 PEACH BLOSSOM DR STE 101
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-8380
Country	:	US
Telephone Number	:	812-590-1600
Fax Number	:	812-590-6561

Provider Business Practice Location Address
First Line	:	2916 PEACH BLOSSOM DR STE 101
Second Line	:
City	:	JEFFERSONVILLE
State	:	IN
Zip	:	47130-8380
Country	:	US
Telephone Number	:	812-590-1600
Fax Number	:	812-590-6561

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

Provider Enumeration Date	:	07/31/2006
Last Update Date	:	04/17/2025

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