MEDICARE: DR. RAJSHRI BOLSON 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	207XS0106X	Orthopaedic Hand Surgery Physician	DR.0056567	CO
2	207X00000X	Orthopaedic Surgery Physician	ML20008118	WA
3	207X00000X	Orthopaedic Surgery Physician	7759	SD
4	207XS0106X	Orthopaedic Hand Surgery Physician	P3124	TX

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	:	1588772610
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJSHRI BOLSON MD

Provider Business Mailing Address
First Line	:	PO BOX 801106
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64180-1106
Country	:	US
Telephone Number	:	800-953-0104
Fax Number	:	303-765-6670

Provider Business Practice Location Address
First Line	:	4350 LIMELIGHT AVE STE 100
Second Line	:
City	:	CASTLE ROCK
State	:	CO
Zip	:	80109-8034
Country	:	US
Telephone Number	:	720-455-3775
Fax Number	:	720-455-3776

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

Provider Enumeration Date	:	08/28/2006
Last Update Date	:	08/16/2023

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Directions to “ DR. RAJSHRI BOLSON MD” Practice Location

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