Individual
DR. BAIJU ABDULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.B.B.S.
Contact information
Practice address
37 WIDEFIELD BLVD, COLORADO SPRINGS, CO 80911-2126
(719) 390-4335
(719) 390-4566
Mailing address
37 WIDEFIELD BLVD, COLORADO SPRINGS, CO 80911-2126
(719) 390-4335
(719) 390-4566
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
50309
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A114035
CA LICENSE
CA
01
—
DR-50309
COLORADO STATE
CO
Enumeration date
04/01/2008
Last updated
05/03/2021
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