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Individual

DR. ILIYA AMAZA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
202 S PARK ST, MADISON, WI 53715-1507
(608) 417-5950
Mailing address
7974 UW HEALTH CT, MIDDLETON, WI 53562-5531
(608) 829-5485

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD-44086
IA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
64567
WI
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
MD-44086
IA
207RP1001X
Pulmonary Disease Physician
Primary
64567
WI
207RP1001X
Pulmonary Disease Physician
MD-44086
IA

Other

Enumeration date
07/03/2014
Last updated
03/08/2021
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