Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 23691 | NE |
NPI | 1003020645 |
---|---|
Provider Name | Dr. Marium Ilahi |
First Address | Omaha, NE 68164-8117 |
Second Address | Omaha, NE 68124-2372 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/05/2007 |
Last Update Date | 01/08/2011 |