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Individual

DR. MOHAMMAD ILYAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
615 E PRINCETON ST STE 401, ORLANDO, FL 32803-1469
(407) 303-9311
Mailing address
615 E PRINCETON ST STE 401, ORLANDO, FL 32803-1469
(407) 303-9311

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
ME75454
FL
2080P0210X
Pediatric Nephrology Physician
Primary
ME75454
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000923898A
GA
05
2593840-00
FL
01
370020436
RAILROAD MEDICARE
FL
Enumeration date
03/17/2006
Last updated
03/20/2026
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