Individual
BIJU POULOSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2525 CROOKS RD STE 100, TROY, MI 48084-4733
(248) 731-7305
(248) 731-7388
Mailing address
2525 CROOKS RD STE 100, TROY, MI 48084-4733
(248) 731-7305
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301107319
MI
Other
Enumeration date
03/27/2015
Last updated
06/24/2019
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