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Individual

OMER ILYAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
785 MEDICAL CENTER DRIVE WEST, 203, CLOVIS, CA 93611
(559) 387-1900
(559) 387-1950
Mailing address
2625 E DIVISADERO ST, FRESNO, CA 93721-1431
(559) 443-2682
(559) 443-2681

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A166249
CA
207RH0000X
Hematology (Internal Medicine) Physician
A166249
CA
207RH0003X
Hematology & Oncology Physician
Primary
A166249
CA
207RX0202X
Medical Oncology Physician
A166249
CA

Other

Enumeration date
03/29/2013
Last updated
01/28/2021
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