Khamishon, Ilya L
Khamishon, Ilya L is an individual health care provider with primary practice located at 1650 Creekside Dr Ste 170 , Folsom CA 95630-3400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hospitalist, which is considered as his primary health care specialty. Khamishon, Ilya L can be contacted via phone (916) 986-4426.Contact Information
Primary practice address
1650 Creekside Dr Ste 170
Folsom CA 95630-3400
Phone: (916) 986-4426
Fax: (916) 986-4434
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | A54344 | California |
Profile Details
| NPI number | 1275517062 |
|---|---|
| LBN Legal business name | Khamishon, Ilya L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 5th, 2005 |
| Last updated | Apr 14th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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