Organization
K R BYJU MD PLC
Active
Organization
K R BYJU MD PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. EVELYN MOORE CPC, ACP (OPERATIONS MANAGER)
(941) 360-3161
Entity
Organization
Contact information
Practice address
2401 UNIVERSITY PKWY, SUITE 202, SARASOTA, FL 34243-2893
(941) 360-2579
(941) 360-2580
Mailing address
2401 UNIVERSITY PKWY, SUITE 202, SARASOTA, FL 34243-2893
(941) 360-2579
(941) 360-2580
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01547
UNIVERSAL
—
01
—
1339812001
CIGNA
—
01
—
13743
BCBS
FL
01
—
2744403
AETNA
FL
Enumeration date
10/11/2007
Last updated
10/30/2007
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