Individual
KR BYJU
Active
Individual
KR BYJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
ME83308
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01547
UNIVERSAL
—
01
—
1339812001
CIGNA
—
01
—
13743
BCBS
FL
01
—
2206358
UHC
—
01
—
2744403
AETNA
FL
01
—
ME83308
ME NUMBER
—
Enumeration date
10/03/2005
Last updated
03/07/2023
Update your record
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