Provider Demographics
NPI:1477516052
Name:BIJPURIA, MURARI LAL (MD)
Entity Type:Individual
Prefix:DR
First Name:MURARI
Middle Name:LAL
Last Name:BIJPURIA
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 1:11623 WHITETAIL LN
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-1435
Mailing Address - Country:US
Mailing Address - Phone:443-838-6700
Mailing Address - Fax:
Practice Address - Street 1:11623 WHITETAIL LN
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21042-1435
Practice Address - Country:US
Practice Address - Phone:443-838-6700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDOO18275208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
65123400OtherTPIN
1477516052OtherNPI
MDB66753Medicare UPIN