Individual provider · NPI-1

Asif M Ilyas, M.D.

Orthopaedic Surgery, Hand Surgery · Bryn Mawr, PA

NPI number1376599860
StatusActive
Last updated in NPPESFeb 22, 2022

Details

NPI
1376599860
Entity type
Individual (NPI-1)
Name
Asif M Ilyas
Credential
M.D.
Sex
Male
Sole proprietor
No
Enumeration date
May 26, 2006
Certification date
Feb 22, 2022
Last updated
Feb 22, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207XS0106X Orthopaedic Surgery, Hand SurgeryMD422003PAYes
207X00000X Orthopaedic Surgery25MA08912300NJ

Practice location

825 Old Lancaster Rd Ste 100
Bryn Mawr, PA 19010-3234

Phone 267-339-3558 · Fax 267-339-3763

Mailing address

833 Chestnut St Ste 520
Philadelphia, PA 19107-4430

Phone 800-321-9999 · Fax 267-339-3761

Other practice locations

234 Mall Blvd Ste G30
King Of Prussia, PA 19406-2921

Phone 267-339-3558 · Fax 267-339-3763

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