Ilyas, Mohammed

Ilyas, Mohammed is an individual health care provider with primary practice located at 1 Childresn Way # 653 , Little Rock AR 72202-3510. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as his primary health care specialty. Ilyas, Mohammed can be contacted via phone (501) 364-1100.

Contact Information

Primary practice address
1 Childresn Way # 653 Little Rock AR 72202-3510
Phone: (501) 364-1100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X E-0978 Arkansas

Profile Details

NPI number 1508956160
LBN Legal business name Ilyas, Mohammed
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 13th, 2006
Last updated Sep 7th, 2016 - about 8 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 1508956160 NPPES
Arkansas MEDICAID 131721001

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