Individual
KR BYJU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2401 UNIVERSITY PKWY, STE 202, SARASOTA, FL 34243
(941) 360-2579
(941) 360-2580
Mailing address
2401 UNIVERSITY PKWY, STE 202, SARASOTA, FL 34243-2893
(941) 360-2579
(941) 360-2580
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
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