Individual
DR. DANIEL ILIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1202 S. TYLER STREET, COVINGTON, LA 70433-2330
(985) 898-4194
(985) 898-4164
Mailing address
1202 S. TYLER STREET, COVINGTON, LA 70433-2330
(985) 898-4194
(985) 898-4164
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036117268
IL
207R00000X
Internal Medicine Physician
Primary
202536
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-117268
—
IL
05
—
1808164
—
LA
Enumeration date
06/12/2007
Last updated
04/18/2012
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