Ilyas Kaizar Colombowala in Meridian - Clinical & Laboratory Immunology

Ilyas Kaizar Colombowala - NPI 1730194150

Ilyas Kaizar Colombowala is a Clinical & Laboratory Immunology in Meridian, Idaho. Ilyas Kaizar Colombowala practices all healthcare services and medical treatments related to Clinical & Laboratory Immunology. The NPI Number for Ilyas Kaizar Colombowala is 1730194150. The last update date is 2020-09-11.

Ilyas Kaizar Colombowala's current location address is 3340 E Goldstone Way, Meridian, Idaho. You can contact this provider via phone number 2083020000 and fax number 2083020055. The mailing address for Ilyas Kaizar Colombowala is 3340 E Goldstone Way, Meridian, Idaho. To know further, please read the information below!

Provider Profile Detail

Provider Name Ilyas Kaizar Colombowala
Address 3340 E Goldstone Way, Meridian, Idaho
Phone Number 2083020000
Fax Number 2083020055
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1730194150
Provider Enumeration Date 2006-07-31
Last Updated Date 2020-09-11

Provider Mailing Address Detail

Address 3340 E Goldstone Way
City Meridian
State Idaho (ID)
Post Code 836421026
Phone Number 2083020000
Fax Number 2083020055

Provider's Primary Taxonomy Detail

Speciality Clinical & Laboratory Immunology
Taxonomy 207Ri0001X
Licence No M-13580
Definition:
An internal medicine physician who specializes in clinical and laboratory immunology disease management.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1730194150 MT --
1730194150 MT BCBS

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FAQs about Ilyas Kaizar Colombowala

What is the unique 10-digit identifier code assigned to Ilyas Kaizar Colombowala by the Centers for Medicare & Medicaid Services?

The Ilyas Kaizar Colombowala has been issued the NPI (National Provider Identifier) 1730194150 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Ilyas Kaizar Colombowala is located?

The Ilyas Kaizar Colombowala is situated at the following address: 3340 E Goldstone Way, Meridian, ID, 836421026.

What is Ilyas Kaizar Colombowala's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Ilyas Kaizar Colombowala's specialized field of practice is Clinical & Laboratory Immunology, and the corresponding taxonomy code that categorizes this area of specialization is 207Ri0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1730194150 to Ilyas Kaizar Colombowala?

The Centers for Medicare & Medicaid Services assigned the 1730194150 to Ilyas Kaizar Colombowala on 2006-07-31.

When was the information related to Ilyas Kaizar Colombowala most recently updated or refreshed?

The details pertaining to the Ilyas Kaizar Colombowala, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-09-11.

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