Basic Information
| Provider Information | |||||||||
| NPI: | 1174936835 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SAHIN | ||||||||
| FirstName: | ILYAS | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 100278 | ||||||||
| Address2: | |||||||||
| City: | GAINESVILLE | ||||||||
| State: | FL | ||||||||
| PostalCode: | 326100278 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522737832 | ||||||||
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| Practice Location | |||||||||
| Address1: | 593 EDDY ST | ||||||||
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| City: | PROVIDENCE | ||||||||
| State: | RI | ||||||||
| PostalCode: | 029034923 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4014443500 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 06/10/2014 | ||||||||
| LastUpdateDate: | 09/24/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 09/24/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MD16442 | RI | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207R00000X | ME149613 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | 207RH0000X | ME149613 | FL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology | 207RH0003X | MD16442 | RI | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hematology & Oncology | 207RX0202X | ME149613 | FL | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Medical Oncology |
No ID Information.