Koya, Dolar R.

Koya, Dolar R. is an individual health care provider with primary practice located at 1177 N Highland Ave , Aurora IL 60506-2281. He recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as his primary health care specialty. Koya, Dolar R. can be contacted via phone (630) 892-6300.

Contact Information

Primary practice address
1177 N Highland Ave Aurora IL 60506-2281
Phone: (630) 892-6300
Fax: (630) 892-6379
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 036055698 Illinois

Profile Details

NPI number 1164493417
LBN Legal business name Koya, Dolar R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated May 19th, 2010 - about 16 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1164493417 NPPES
Illinois MEDICAID 036055698

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