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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1730194150 | NPPES |
| Montana | MEDICAID | 1730194150 | |
| Montana | Other | 1730194150 |
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