Provider Demographics
NPI:1750558342
Name:ALEX, BIJU KURIAKOSE (MD)
Entity type:Individual
Prefix:
First Name:BIJU
Middle Name:KURIAKOSE
Last Name:ALEX
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10710 CHARTER DR STE 110
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3258
Mailing Address - Country:US
Mailing Address - Phone:410-992-9797
Mailing Address - Fax:410-730-0942
Practice Address - Street 1:10710 CHARTER DR STE 110
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-992-9797
Practice Address - Fax:410-730-0942
Is Sole Proprietor?:No
Enumeration Date:2008-05-13
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0076114207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology