Organization
GI DIAGNOSTICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GHULAM ILYAS MD (PATHOLOGIST)
(516) 312-9848
Entity
Organization
Contact information
Practice address
11435 CROSSINGTON RD, JOHNS CREEK, GA 30005-8991
(516) 312-9848
Mailing address
11435 CROSSINGTON RD, JOHNS CREEK, GA 30005-8991
(516) 312-9848
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
—
—
Other
Enumeration date
08/08/2024
Last updated
08/08/2024
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