Individual provider Active NPI

Mahendrakumar Harjivan Bhojani, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1558634840
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03376 Issued in NC
Practice address
721 West Sugar Creek Road
Americare Health PC
Charlotte, NC 28213-6163
Phone
(704) 941-2080
Fax
(704) 941-2085
NPI assigned
Feb 16, 2012
Last updated
Oct 17, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03376 NC Primary

Addresses

Primary practice location

721 West Sugar Creek Road
Americare Health PC
Charlotte, NC 28213-6163

Mailing address

6925 Northbury LN
Apt 1317
Charlotte, NC 28226-8684
Phone (704) 362-5659

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-03376NCMDPhysician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1558634840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6925 NORTHBURY LN",
            "address_2": "APT 1317",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282268684",
            "telephone_number": "704-362-5659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 WEST SUGAR CREEK ROAD",
            "address_2": "AMERICARE HEALTH PC",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282136163",
            "telephone_number": "704-941-2080",
            "fax_number": "704-941-2085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHOJANI",
        "first_name": "MAHENDRAKUMAR",
        "middle_name": "HARJIVAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-02-16",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.