ASHISH THEKKEKARA BIJU

SUFFOLK, VA
NPI1518661289
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2023-03-28
Last Update Date2023-03-28
Business Address
ASHISH THEKKEKARA BIJU DPM
2790 GODWIN BLVD STE 355
SUFFOLK, VA 23434-8173
Phone number: 757-635-0784
Mailing Address
ASHISH THEKKEKARA BIJU DPM
3811 JACKSON SHOALS DR
LAWRENCEVILLE, GA 30044-4065
Phone number: 678-619-7860