Ikramuddin, Ilyas
Ikramuddin, Ilyas is an individual health care provider with primary practice located at 75 Sylvania Dr , Beavercreek OH 45440-3237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Ikramuddin, Ilyas can be contacted via phone (937) 320-5050.Contact Information
Primary practice address
75 Sylvania Dr
Beavercreek OH 45440-3237
Phone: (937) 320-5050
Fax: (937) 320-5060
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 34.006791 | Ohio |
Profile Details
| NPI number | 1457352940 |
|---|---|
| LBN Legal business name | Ikramuddin, Ilyas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2005 |
| Last updated | Aug 24th, 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 | 1457352940 | NPPES |
| Ohio | MEDICAID | 2220108 |
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