Individual
ILYAS ELI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 N MEDICAL DR # 5, 5TH FLOOR, SALT LAKE CITY, UT 84132-0001
(801) 581-6908
Mailing address
1800 MEDICAL CENTER PKWY, STE 300, MURFREESBORO, TN 37129-3261
(615) 849-8004
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
63595
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/21/2014
Last updated
07/28/2021
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