Colombowala, Ilyas Kaizar

Colombowala, Ilyas Kaizar is an individual health care provider with primary practice located at 6140 W Curtisian Ste 300, Boise ID 83704. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Colombowala, Ilyas Kaizar can be contacted via phone (208) 302-0000.

Contact Information

Primary practice address
6140 W Curtisian Ste 300 Boise ID 83704
Phone: (208) 302-0000
Fax: (208) 302-0055
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X M13580 Idaho
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 12748 Montana
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 12748 Montana
Allopathic & Osteopathic Physicians / Clinical & Laboratory Immunology 207RI0001X M-13580 Idaho

Profile Details

NPI number 1730194150
LBN Legal business name Colombowala, Ilyas Kaizar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Sep 11th, 2020 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730194150 NPPES
Montana MEDICAID 1730194150
Montana Other 1730194150

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