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Individual

DR. ILYAS KAIZAR COLOMBOWALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13325 HARGRAVE RD STE 280, HOUSTON, TX 77070-4552
(832) 478-5067
Mailing address
13325 HARGRAVE RD STE 280, HOUSTON, TX 77070-4552

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12748
MT
207RC0001X
Clinical Cardiac Electrophysiology Physician
12748
MT
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
L8654
TX
207RC0001X
Clinical Cardiac Electrophysiology Physician
M13580
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730194150
BCBS
MT
05
1730194150
MT
Enumeration date
07/31/2006
Last updated
07/25/2025
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