Provider Demographics
NPI:1346454220
Name:KARAYIL, DILJIT BAHULEYAN (MD)
Entity Type:Individual
Prefix:DR
First Name:DILJIT
Middle Name:BAHULEYAN
Last Name:KARAYIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 SERENO DRIVE, MEDICAL OFFICE- 8
Mailing Address - Street 2:KAISER PERMANENTE MEDICAL CENTER
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589
Mailing Address - Country:US
Mailing Address - Phone:707-651-1025
Mailing Address - Fax:
Practice Address - Street 1:975 SERENO DRIVE, MEDICAL OFFICE- 8
Practice Address - Street 2:KAISER PERMANENTE MEDICAL CENTER
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589
Practice Address - Country:US
Practice Address - Phone:707-651-1025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-09
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301091390207R00000X
CAA112183207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine