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Individual
IZABELLA GURAU
Active
Individual
IZABELLA GURAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
036120004
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036120004
—
IL
01
—
107030130101
IHC
UT
01
—
220854
ALTIUS
UT
01
—
31-00068
UNITED HEALTHCARE
UT
01
—
78625
PEHP
UT
01
—
868697
DMBA
UT
05
—
870281028000
—
UT
01
—
870281028GU2
EMIA
UT
01
—
P00152442
PALMETTO GBA
—
01
—
P00610372
RAILROAD MEDICARE
IL
Enumeration date
06/20/2006
Last updated
06/28/2021
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