Benito C Bajuyo MD PC

General Practice Physician · Metropolis, IL

Organization Active NPI

NPI number 1134119654

Practice location

28 Chick St
Decker Medical Annex
Metropolis, IL 62960-2467
Phone
(618) 524-9232
Fax
(618) 524-9489

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NPI record

NPI
1134119654
Entity type
Organization (Type 2)
Enumeration date
October 26, 2005
Last updated
August 22, 2020
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Physician Primary 208D00000X — —

Mailing address

PO Box 187
Decker Medical Annex
Metropolis, IL 62960-0187
Phone
(618) 524-9232
Fax
(618) 524-9489

Authorized official

Name
Benito Colanco Bajuyo, MD
Title
Owner
Phone
(618) 524-9232

About Benito C Bajuyo MD PC

Benito C Bajuyo MD PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Physician (code 208D00000X). The practice location is 28 Chick St, Decker Medical Annex, Metropolis, IL 62960-2467. The NPI number 1134119654 was assigned on October 26, 2005 and the record was last updated on August 22, 2020.

The authorized official for this organization is Benito Colanco Bajuyo, MD, Owner.

Frequently asked questions

What is the NPI number of Benito C Bajuyo MD PC?

The NPI number is 1134119654.

What is the phone number of Benito C Bajuyo MD PC?

The phone number listed for the practice location is (618) 524-9232.

Where is Benito C Bajuyo MD PC located?

28 Chick St, Decker Medical Annex, Metropolis, IL 62960-2467.

What is the taxonomy code for Benito C Bajuyo MD PC?

The primary taxonomy code is 208D00000X – General Practice Physician.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.