Burny, Ilyas
Burny, Ilyas is an individual health care provider with primary practice located at 1 Hospital Dr , Columbia MO 65212-0001. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine. Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine is his primary health care specialty. Burny, Ilyas can be contacted via phone (573) 882-6544.Contact Information
Primary practice address
1 Hospital Dr
Columbia MO 65212-0001
Phone: (573) 882-6544
Fax: (573) 884-5226
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 2003028521 | Missouri |
| Allopathic & Osteopathic Physicians / Pediatric Critical Care Medicine | 2080P0203X | 2003028521 | Missouri |
Profile Details
| NPI number | 1235140559 |
|---|---|
| LBN Legal business name | Burny, Ilyas |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Nov 20th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235140559 | NPPES |
| Missouri | Other | 214221 | BCBS |
| Missouri | Other | 723806 | BCBS |
| Missouri | MEDICAID | 208367110 | BCBS |
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