Provider Demographics
NPI:1437195369
Name:CHERIAN, BIJU (MD)
Entity Type:Individual
Prefix:DR
First Name:BIJU
Middle Name:
Last Name:CHERIAN
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 1:5981 JEFFERSON ST NE STE A
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87109-3457
Mailing Address - Country:US
Mailing Address - Phone:505-370-9600
Mailing Address - Fax:505-355-0566
Practice Address - Street 1:5981 JEFFERSON ST NE STE A
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87109-3457
Practice Address - Country:US
Practice Address - Phone:505-370-9600
Practice Address - Fax:505-355-0566
Is Sole Proprietor?:No
Enumeration Date:2006-06-21
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2003-0778207RN0300X
NMMD2003-0776207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NM30985048Medicaid
I03987Medicare UPIN
NM30985048Medicaid