Individual
DR. NIKHIL RAO ILLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 SPRUCE STREET, GROUND SILVERSTEIN, PHILADELPHIA, PA 19104
(215) 662-6305
(215) 662-3953
Mailing address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-6305
(215) 662-3953
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD485966
PA
208D00000X
General Practice Physician
MD485966
PA
Other
Enumeration date
04/05/2022
Last updated
05/06/2026
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