| Doctor Name: | DR. BAIJU ABDULLA |
| NPI Number: | 1316119076 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.B.B.S. |
| License Number: | A114035 |
| Business Practice Address: | 47 Widefield Blvd Colorado Springs, CO - 809112126 |
| Business Phone Number: | 7193904335 |
| Business Fax Number: | 7193904566 |
| Mailing Address: | 47 Widefield Blvd, COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809112126 |
| Phone Number: | 7193904335 |
| Fax Number: | 7193904566 |
| NPI Enumeration Date: | 04/01/2008 |
| NPI Last Update Date: | 08/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | A114035 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |