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NPI Code Detail

MEDICARE: IRADA DALILI M.D.

MEDICARE: IRADA DALILI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianA96583CA

General Provider Information

NPI Number : 1528092459
Entity Type Code : Individual
Provider Name (Legal Business Name) : IRADA DALILI M.D.
Provider Business Mailing Address
First Line : PO BOX 35380
Second Line :
City : LAS VEGAS
State : NV
Zip : 89133-5380
Country : US
Telephone Number : 702-579-3203
Fax Number :
Provider Business Practice Location Address
First Line : 5957 W RAMSEY ST
Second Line :
City : BANNING
State : CA
Zip : 92220-3058
Country : US
Telephone Number : 951-845-0313
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/10/2006
Last Update Date : 12/10/2025

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