Individual
ILYAS MUNSHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
99 W MARTIAL AVE, LAFAYETTE, LA 70508-6583
(337) 234-5344
(337) 234-5311
Mailing address
99 W MARTIAL AVE, LAFAYETTE, LA 70508-6583
(337) 234-5344
(337) 234-5311
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
14248R
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1104710
—
LA
Enumeration date
08/23/2006
Last updated
05/26/2015
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