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NPI Code Detail

MEDICARE: DR. CAN ILYAS MD

MEDICARE: DR. CAN ILYAS MD
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
1207RH0003XHematology & Oncology PhysicianMD17729ME
2207RH0003XHematology & Oncology Physician20015NH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770625410
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CAN ILYAS MD
Provider Business Mailing Address
First Line : PO BOX 911
Second Line :
City : BRATTLEBORO
State : VT
Zip : 05302-0911
Country : US
Telephone Number : 207-303-3200
Fax Number : 207-250-2140
Provider Business Practice Location Address
First Line : 2 INDEPENDENCE DR
Second Line :
City : KENNEBUNK
State : ME
Zip : 04043-6078
Country : US
Telephone Number : 207-303-3300
Fax Number : 207-250-2144
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2007
Last Update Date : 04/17/2026

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