Basic Information
Provider Information
NPI: 1346454220
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARAYIL
FirstName: DILJIT
MiddleName: BAHULEYAN
NamePrefix: DR.
NameSuffix:  
Credential: M.D
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 975 SERENO DRIVE, MEDICAL OFFICE- 8
Address2: KAISER PERMANENTE MEDICAL CENTER
City: VALLEJO
State: CA
PostalCode: 94589
CountryCode: US
TelephoneNumber: 7076511025
FaxNumber:  
Practice Location
Address1: 975 SERENO DRIVE, MEDICAL OFFICE- 8
Address2: KAISER PERMANENTE MEDICAL CENTER
City: VALLEJO
State: CA
PostalCode: 94589
CountryCode: US
TelephoneNumber: 7076511025
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/09/2007
LastUpdateDate: 12/20/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 12/20/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X4301091390MIN Allopathic & Osteopathic PhysiciansInternal Medicine 
207R00000XA112183CAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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