Dr. Mohammad Ilyas
Pediatrician Pediatric Nephrologist
820 Prudential Dr Ste 405 Ufjp Pediatric Multispecialty
Jacksonville
, Florida 32207-8206
Dr. Mohammad Ilyas
Pediatrician Pediatric Nephrologist
820 Prudential Dr Ste 405 Ufjp Pediatric Multispecialty
Jacksonville
, Florida 32207-8206
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About
Features
Specialties
- Pediatrician
- Pediatric Nephrologist
Languages spoken
- English
Location
First Address
- Dr. Mohammad Ilyas
- Po Box 44008 Ufjp Provider Enrollment
- Jacksonville, FL
- Zip : 32231-4008
- Phone :
Second Address
- Dr. Mohammad Ilyas
- 820 Prudential Dr Ste 405 Ufjp Pediatric Multispecialty
- Jacksonville, FL
- Zip : 32207-8206
- Fax : (904) 600-0921
- Phone : (904) 633-0920
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FAQs
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What type of doctor is Dr. Mohammad Ilyas
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Is Dr. Mohammad Ilyas a sole practitioner?
Is Dr. Mohammad Ilyas accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208000000X | Pediatrician | ME75454 | FL |
| Y | 2080P0210X | Pediatric Nephrologist | ME75454 | FL |
National Provider Identifier
| NPI | 1104895416 |
|---|---|
| Provider Name | Dr. Mohammad Ilyas |
| First Address | Jacksonville, FL 32231-4008 |
| Second Address | Jacksonville, FL 32207-8206 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 17/03/2006 |
| Last Update Date | 01/04/2009 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000923898A | (05) | GA |
| 2593840-00 | (05) | FL |
| 370020436 | RAILROAD MEDICARE (01) | FL |
| H24357 | (02) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.