Mohammad Ilyas in Jacksonville - Pediatric Nephrology
Mohammad Ilyas - NPI 1104895416
Mohammad Ilyas is a Pediatric Nephrology in Jacksonville, Florida. Mohammad Ilyas practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for Mohammad Ilyas is 1104895416. The last update date is 2009-04-01.
Mohammad Ilyas's current location address is 820 Prudential Dr Ste 405, Jacksonville, Florida. You can contact this provider via phone number 9046330920 and fax number 9046000921. The mailing address for Mohammad Ilyas is 820 Prudential Dr Ste 405, Jacksonville, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mohammad Ilyas |
|---|---|
| Address | 820 Prudential Dr Ste 405, Jacksonville, Florida |
| Phone Number | 9046330920 |
| Fax Number | 9046000921 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1104895416 |
|---|---|
| Provider Enumeration Date | 2006-03-17 |
| Last Updated Date | 2009-04-01 |
Provider Mailing Address Detail
| Address | 820 Prudential Dr Ste 405 |
|---|---|
| City | Jacksonville |
| State | Florida (FL) |
| Post Code | 322078206 |
| Phone Number | 9046330920 |
| Fax Number | 9046000921 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Nephrology |
|---|---|
| Taxonomy | 2080P0210X |
| Licence No | ME75454 |
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Definition: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000923898A | GA | -- | |
| 2593840-00 | FL | -- | |
| 370020436 | FL | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Mohammad Ilyas by the Centers for Medicare & Medicaid Services?
The Mohammad Ilyas has been assigned the NPI (National Provider Identifier) 1104895416 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Mohammad Ilyas is geographically located?
The Mohammad Ilyas is physically situated at the following location: 820 Prudential Dr Ste 405, Jacksonville, FL, 322078206.
What is Mohammad Ilyas's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Mohammad Ilyas is Pediatric Nephrology, and the corresponding taxonomy classification code for this specialized field is 2080P0210X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1104895416 to Mohammad Ilyas?
The Centers for Medicare & Medicaid Services originally issued the 1104895416 to Mohammad Ilyas on 2006-03-17.
As of what date was the information regarding Mohammad Ilyas, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mohammad Ilyas, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-04-01.
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