Provider Demographics
NPI:1700137007
Name:BAHULEYAN, BIJI (MBBS, MCH)
Entity Type:Individual
Prefix:
First Name:BIJI
Middle Name:
Last Name:BAHULEYAN
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Gender:M
Credentials:MBBS, MCH
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Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:75 FRANCIS STREET
Mailing Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115
Mailing Address - Country:US
Mailing Address - Phone:671-525-7777
Mailing Address - Fax:317-738-4609
Practice Address - Street 1:75 FRANCIS STREET
Practice Address - Street 2:BRIGHAM AND WOMEN'S HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115
Practice Address - Country:US
Practice Address - Phone:671-525-7777
Practice Address - Fax:317-738-4609
Is Sole Proprietor?:No
Enumeration Date:2012-09-26
Last Update Date:2012-09-26
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Provider Licenses
StateLicense IDTaxonomies
MA252671207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery