Provider Demographics
NPI:1285993501
Name:BUJANDA, DANIEL ESTEBAN (MD)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:ESTEBAN
Last Name:BUJANDA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1691 GALISTEO ST STE C
Mailing Address - Street 2:
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4781
Mailing Address - Country:US
Mailing Address - Phone:915-329-6542
Mailing Address - Fax:866-434-6657
Practice Address - Street 1:1691 GALISTEO ST STE C
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4781
Practice Address - Country:US
Practice Address - Phone:915-329-6542
Practice Address - Fax:866-434-6657
Is Sole Proprietor?:No
Enumeration Date:2012-05-07
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMMD2019-0264207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology