MEDICARE: DR. RAJESH RAM BHOJWANI M.D

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	2085N0700X	Neuroradiology Physician	MD31831	DC
2	2085R0202X	Diagnostic Radiology Physician	43040	CO
3	2085R0202X	Diagnostic Radiology Physician	0101236511	VA
4	2085R0202X	Diagnostic Radiology Physician	ME92353	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	P00455450	OTHER	VA	MEDICARE RAILROAD CARRIER

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8V9090	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	AZ0449230	OTHER	AZ	BCBS
4	0383421	OTHER		CIGNA
5	00069214	OTHER	VT	BCBS
6	01Y010162NH01	OTHER		ANTHEM BCBS
7	4136177	OTHER	TN	BCBS
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	387909	OTHER		MVP
11	8V0180	OTHER	TX	BCBS
12	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
13	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
14	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972588556
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAJESH RAM BHOJWANI M.D

Provider Business Mailing Address
First Line	:	11995 SINGLETREE LN
Second Line	:	SUITE 500
City	:	EDEN PRAIRIE
State	:	MN
Zip	:	55344-5347
Country	:	US
Telephone Number	:	952-595-1242
Fax Number	:	952-942-3361

Provider Business Practice Location Address
First Line	:	513 N THOMAS ST
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-2405
Country	:	US
Telephone Number	:	952-595-1242
Fax Number	:	952-942-3361

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

Provider Enumeration Date	:	12/07/2005
Last Update Date	:	02/21/2024

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