Active NPI
Deepak G Bhojraj M.D. Inc.
- Family Medicine Physician
- Hobart, IN
National Provider Identifier
1770728420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01029381
- Legal business name
- DEEPAK G BHOJRAJ M.D. INC.
- Practice address
- 7781 E Ridge Rd
Suite B
Hobart, IN 46342-2484 - Phone
- (219) 940-0004
- NPI assigned
- Dec 10, 2008
- Last updated
- Dec 16, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Haroon Naz
- Title
- Ceo
- Phone
- (219) 796-4121
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01029381 | IN | Primary |
Addresses
Primary practice location
7781 E Ridge Rd
Suite B
Hobart, IN 46342-2484
Mailing address
7781 E Ridge Rd
Suite B
Hobart, IN 46342-2484
Phone (219) 940-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100166380A | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
3580 N Hobart Rd
Hobart, IN 46342
Phone (219) 962-6500
7781 E Ridge Rd
Ste B
Hobart, IN 46342
Phone (219) 769-4567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228867200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1323993600000",
"number": "1770728420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7781 E RIDGE RD",
"address_2": "SUITE B",
"city": "HOBART",
"state": "IN",
"postal_code": "463422484",
"telephone_number": "219-940-0004"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7781 E RIDGE RD",
"address_2": "SUITE B",
"city": "HOBART",
"state": "IN",
"postal_code": "463422484",
"telephone_number": "219-940-0004"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DEEPAK G BHOJRAJ M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-12-10",
"last_updated": "2011-12-16",
"status": "A",
"authorized_official_last_name": "NAZ",
"authorized_official_first_name": "HAROON",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "219-796-4121",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IN",
"license": "01029381",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100166380A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hobart, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.