Charles a Iliya MD PA

NPI #1639446891 in Dallas, Texas

Provider Information

NPI Number: 1639446891
Entity Type: Organization
Organization Name: Charles a Iliya MD PA
Primary Specialty: Surgery
Enumeration Date: Nov 16, 2011
Last Updated: Aug 20, 2016

Practice Location

Address: 9330 POPPY DR
Address 2: SUITE 500
City: Dallas
State: Texas
ZIP Code: 75218-4612
Phone: (214) 321-2481

Authorized Official

Name: DR. CHARLES A ILIYA, M.D.
Title: PRESIDENT
Phone: (214) 321-2481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Surgery - Vascular Surgery — Vascular Surgery	2086S0129X
Surgery	208600000X	Primary

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