Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
IDIL EZHUTHACHAN, M.D.
ActiveIDIL EZHUTHACHAN, M.D. is a Pediatrics healthcare provider located in ROYAL OAK, Michigan. NPI 1891101432 is currently active in the NPPES registry. Verify at CMS.
Pediatrics · ROYAL OAK, MI
Registration Details
- NPI Number
- 1891101432
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 3, 2014 (12.071184302947 yrs)
- Last Updated
- Feb 12, 2018
- License
-
4301105270 (MI)
Practice Information
- Address
-
3601 W 13 MILE RDROYAL OAK, MI, 480736712Browse MI providers · Browse ZIP 48073
- Phone
- 2485512040
- Fax
- 2488989677
- Primary Specialty
-
Pediatrics
208000000X
Other Pediatrics Providers in ROYAL OAK, MI
| Name | Credential | NPI |
|---|---|---|
| M BASSEM HOSEIN DEKELBAB | MD | 1750376877 |
| DR. SULAFA E ROUMAYAH-ELIA | MD | 1659362226 |
| DR. ANNE BUTRY-BLUJ | MD | 1982686283 |
| DR. SUHAD YALDO | MD | 1164404224 |
| DR. LEANNE M WISNIEWSKI | DO | 1386626547 |
| DR. ZINAIDA O LASKA SOBOL | MD | 1841272747 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.