IDIL EZHUTHACHAN M.D.
NPI 1891101432
Pediatrics in Royal Oak, MI

Q: What is Idil Ezhuthachan's NPI number?

The NPI number for Idil Ezhuthachan is 1891101432. It was assigned to this individual provider in the NPPES registry on July 3, 2014. The provider is also known as Idil Daloglu MD.

Q: What is Idil Ezhuthachan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Idil Ezhuthachan was last updated on February 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 03, 2014

3601 W 13 MILE RD, ROYAL OAK, MI 48073(248) 551-2040(248) 898-9677 Get Directions Write a Review

NPPES record last updated: February 12, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 12, 2018, Jun 1, 2017 (2 updates tracked since 2017).

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About Idil Ezhuthachan M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IDIL EZHUTHACHAN M.D. (NPI 1891101432) is an individual pediatrics provider in Royal Oak, Michigan, licensed in Michigan (4301105270) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1891101432

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameIDIL EZHUTHACHANCredential: M.D.

Location Address3601 W 13 MILE RDRoyal Oak, MI 48073-6712

Mailing Address130 Town Center Dr, Ste 203Troy, MI 48084-1744 · (248) 551-2040 · Fax (248) 898-9677

Phone(248) 551-2040

Fax(248) 898-9677

Sole ProprietorNo

Enumeration DateJuly 3, 2014

Last NPPES UpdateFebruary 12, 20182 updates tracked since enumeration

✔ NPI 1891101432 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301105270

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3601 W 13 MILE RD, Royal Oak, MI 48073

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Other Names 1

Former Name (1)Idil Daloglu Md

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMIT BAHL MD, MPH

Emergency Medicine

3601 W 13 MILE RD, WILLIAM BEAUMONT HOSPITAL
ROYAL OAK, MI 48073

Oakland County (248) 898-0575

CATHERINE LEE PA

Physician Assistant