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Individual
DR. SUMERA IRIE ILYAS
Active
Individual
DR. SUMERA IRIE ILYAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
106253
MN
207RG0100X
Gastroenterology Physician
Primary
55766
MN
390200000X
Student in an Organized Health Care Education/Training Program
MT-194375
PA
Other
Enumeration date
05/21/2009
Last updated
12/02/2021
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