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Individual

MS. MADHUMITA BHOJRAJ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
6091 BROADWAY, MERRILLVILLE, IN 46410-2619
(219) 763-8112
(219) 884-2547
Mailing address
6091 BROADWAY, MERRILLVILLE, IN 46410
(219) 763-8112
(219) 884-2547

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01032331A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10780356
CAQH
IN
05
200275500B
IN
Enumeration date
07/21/2006
Last updated
08/02/2012
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