Individual
DR. ILYA ZHUPLATOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
245 N 15TH STREET, 6TH FLOOR, MS 427, PHILADELPHIA, PA 19102
(215) 762-7916
Mailing address
245 N 15TH STREET, 6TH FLOOR, MS 427, PHILADELPHIA, PA 19102
(215) 762-7916
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MT218884
PA
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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