# BIJU M LUKOSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1053501809
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207P00000X | Emergency Medicine Physician | 254454 | NY | — |
| 207P00000X | Emergency Medicine Physician | M7387 | TX | — |
| 208600000X | Surgery Physician | 254454 | NY | — |
| 208600000X | Surgery Physician | M7383 | TX | — |
| 208600000X | Surgery Physician | M7387 | TX | — |
| 208D00000X | General Practice Physician | 254454 | NY | — |
| 208D00000X | General Practice Physician | M7387 | TX | Yes |

## Other

- **Enumeration date:** 07/27/2007
- **Last updated:** 03/01/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 188486815 | — | TX |