Provider Demographics
NPI:1922260017
Name:KYTHAPARAMPIL JOHN, BIJO (MD)
Entity Type:Individual
Prefix:MR
First Name:BIJO
Middle Name:
Last Name:KYTHAPARAMPIL JOHN
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 1:621 CAMDEN
Mailing Address - Street 2:#202
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78215-1612
Mailing Address - Country:US
Mailing Address - Phone:210-253-3422
Mailing Address - Fax:210-212-7403
Practice Address - Street 1:621 CAMDEN
Practice Address - Street 2:#202
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78215-1612
Practice Address - Country:US
Practice Address - Phone:210-253-3422
Practice Address - Fax:210-212-7403
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-30
Last Update Date:2015-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD439721207RI0008X
OH35.093170207R00000X
TXP9083207RG0100X, 207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology