Individual
DR. ILA D. MADIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1050 DELAWARE AVENUE, MARION, OH 43302-6416
(740) 383-7844
(740) 383-4216
Mailing address
L-3549, COLUMBUS, OH 43260-0001
(740) 383-7927
(740) 383-7942
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
35042714M
OH
207L00000X
Anesthesiology Physician
Primary
35.042714M
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0373260
—
OH
Enumeration date
07/06/2006
Last updated
11/13/2012
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