Provider Demographics
NPI:1548318058
Name:HOJRAJ, DIEGO (MD)
Entity type:Individual
Prefix:DR
First Name:DIEGO
Middle Name:
Last Name:HOJRAJ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 W 57TH ST
Mailing Address - Street 2:15TH & 16TH FL
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-3211
Mailing Address - Country:US
Mailing Address - Phone:212-247-8100
Mailing Address - Fax:212-713-1631
Practice Address - Street 1:200 W 57TH ST
Practice Address - Street 2:15TH & 16TH FL
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-3211
Practice Address - Country:US
Practice Address - Phone:212-247-8100
Practice Address - Fax:212-713-1631
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2012-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY221075207R00000X, 208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYHD1075OtherATLANTIS
NY2147504OtherUNITED HEALTHCARE
NY133010833OtherPHCS
NY133010833OtherAETNA
NY173730POtherHIP
NYP3174013OtherOXFORD
NY133010833OtherAETNA
NYHD1075OtherATLANTIS