Provider Demographics
NPI:1083638100
Name:ILANO, MARIA DAISY (MD)
Entity type:Individual
Prefix:DR
First Name:MARIA
Middle Name:DAISY
Last Name:ILANO
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2751 NAPA VALLEY CORPORATE DR BLDG A
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-6216
Mailing Address - Country:US
Mailing Address - Phone:707-253-4727
Mailing Address - Fax:707-253-4815
Practice Address - Street 1:2751 NAPA VALLEY CORPORATE DR BLDG A
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94558-6216
Practice Address - Country:US
Practice Address - Phone:072-534-7277
Practice Address - Fax:707-253-4815
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2023-11-08
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Provider Licenses
StateLicense IDTaxonomies
CAA479812084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF13490Medicare UPIN