Individual
BIJU JOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
MULECREEK STATE PRISON, HIGHWAY 104, IONE, CA 95640-9099
(209) 274-4911
Mailing address
PO BOX 409099, MULECREEK STATE PRISON, ATTN:PERSONNEL DEPT, IONE, CA 95640-9099
(209) 274-4911
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
A79801
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A798010
—
CA
Enumeration date
11/01/2006
Last updated
04/28/2009
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