Individual
WAQAS ILYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
347 WESTSIDE STATION DR, WINCHESTER, VA 22601-2840
(540) 662-1810
(540) 662-1812
Mailing address
347 WESTSIDE STATION DR, WINCHESTER, VA 22601-2840
(540) 662-1810
(540) 662-1812
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
0101236475
VA
207W00000X
Ophthalmology Physician
01062263A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467482984
—
VA
05
—
3810014188
—
WV
01
—
P00717921
MEDICARE RR
VA
Enumeration date
07/03/2006
Last updated
01/30/2019
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