Provider Demographics
NPI:1306165063
Name:BIJUKCHHE, REBIKA (MD)
Entity type:Individual
Prefix:
First Name:REBIKA
Middle Name:
Last Name:BIJUKCHHE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:REBIKA
Other - Middle Name:
Other - Last Name:AMATYA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7 HEGEMAN AVE
Mailing Address - Street 2:APT # 14 D
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-4756
Mailing Address - Country:US
Mailing Address - Phone:347-405-9961
Mailing Address - Fax:347-405-9961
Practice Address - Street 1:400 NE MOTHER JOSEPH PLACE
Practice Address - Street 2:SOUTHWEST WASHINGTON MEDICAL CENTER
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664
Practice Address - Country:US
Practice Address - Phone:360-514-3764
Practice Address - Fax:360-514-2289
Is Sole Proprietor?:No
Enumeration Date:2010-05-20
Last Update Date:2010-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60147871207R00000X, 208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine