Individual
DANIEL ILTCHEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6707 POWERS BLVD, SUITE 106, PARMA, OH 44129-5455
(440) 886-2509
(440) 886-2547
Mailing address
6707 POWERS BLVD, SUITE 106, PARMA, OH 44129-5455
(440) 886-2509
(440) 886-2547
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
35081363
OH
207RP1001X
Pulmonary Disease Physician
23043
NE
207RP1001X
Pulmonary Disease Physician
Primary
35081363
OH
207RS0012X
Sleep Medicine (Internal Medicine) Physician
35081363
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
247336
MIDLANDS CHOICE
NE
05
—
290-04-8916
—
NE
05
—
2995513
—
OH
01
—
30074
BCBSNE
NE
01
—
P00267687
RR
NE
Enumeration date
05/27/2006
Last updated
08/14/2015
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