Individual
SAHRISH ILYAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3400 SPRUCE ST., PHILADELPHIA, PA 19104-4206
(215) 662-6932
(215) 662-7899
Mailing address
3400 SPRUCE ST., PHILADELPHIA, PA 19104-4206
(215) 662-6932
(215) 662-7899
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD478005
PA
207RI0200X
Infectious Disease Physician
Primary
MD478005
PA
Other
Enumeration date
04/07/2016
Last updated
08/11/2022
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