Individual provider · NPI-1
Dr. Baiju Abdulla, M.B.B.S.
Family Medicine · Colorado Springs, CO
NPI number1316119076
StatusActive
Last updated in NPPESMay 3, 2021
Details
- NPI
- 1316119076
- Entity type
- Individual (NPI-1)
- Name
- Dr. Baiju Abdulla
- Credential
- M.B.B.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 1, 2008
- Certification date
- May 3, 2021
- Last updated
- May 3, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 50309 | CO | Yes |
Practice location
37 Widefield BlvdColorado Springs, CO 80911-2126
Phone 719-390-4335 · Fax 719-390-4566
Mailing address
37 Widefield BlvdColorado Springs, CO 80911-2126
Phone 719-390-4335 · Fax 719-390-4566
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