Individual
DR. ILYAS BURNY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 HOSPITAL DR, COLUMBIA, MO 65212-0001
(573) 882-6544
(573) 884-5226
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
2003028521
MO
2080P0203X
Pediatric Critical Care Medicine Physician
Primary
2003028521
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208367110
—
MO
01
—
214221
BCBS
MO
01
—
723806
HEALTHLINK
MO
Enumeration date
08/11/2006
Last updated
11/20/2007
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