Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1891101432 Individual Practitioner Female Practitioner

Dr. Idil Ezhuthachan , MD

Pediatrics • Royal Oak, MI

Professional Overview & Biography Verified Profile Summary

Dr. Idil Ezhuthachan, MD is a registered healthcare professional specializing in Pediatrics in Royal Oak, MI. Practice services are available at 3601 W 13 MILE RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3601 W 13 Mile Rd

Royal Oak, MI 480736712

Telephone 2485512040
Fax 2488989677
Associated Practice Facility / Clinic
🏢 William Beaumont Hospital Facility NPI 1689653305

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Royal Oak, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 18.1 Yrs
State Avg: 25.7 Yrs
Regional Practice Density
94 Specialists

Practicing in Royal Oak, MI (2263 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License MI 4301105270

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1245613710

Doctor of Osteopathic Medicine (D.O.)

NPI 1326480351

Doctor of Medicine (M.D.)

NPI 1346653565

Doctor of Medicine (M.D.)

Dr. Bassam Albashiti , MD

Student in an Organized Health Care Education/Training Program

NPI 1659668648

Doctor of Medicine (M.D.)

Dr. Paras Khandhar , MD

Pediatrics - Pediatric Critical Care Medicine

NPI 1922213958

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events
NPI Profile Active February 12, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location February 12, 2018

Registered at 3601 W 13 MILE RD, ROYAL OAK, MI 480736712 (Tel: 2485512040)

📍
Updated Business Mailing Address February 12, 2018

Registered at 130 TOWN CENTER DR, STE 203, TROY, MI 480841744 (Tel: 2485512040)

👤
Provider Name / Credentials Updated February 12, 2018

Recorded as IDIL EZHUTHACHAN, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 12, 2018

Pediatrics (License #4301105270 in MI)

📍
Updated Business Mailing Address June 01, 2017

Registered at 130 TOWN CENTER DR, STE 203, TROY, MI 480841744 (Tel: 2485512040)

NPI Profile Active July 03, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location July 03, 2014

Registered at 3601 W 13 MILE RD, ROYAL OAK, MI 480736712 (Tel: 2485512040)

📍
Updated Business Mailing Address July 03, 2014

Registered at 3601 W 13 MILE RD, ROYAL OAK, MI 480736712 (Tel: 2485512040)

👤
Provider Name / Credentials Updated July 03, 2014

Recorded as IDIL DALOGLU, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 03, 2014

Pediatrics (License #4301105270 in MI)

🟢
Initial NPI Registration & Enumeration July 03, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891101432
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 03, 2014
Last Update: February 12, 2018
Sole Proprietor: No

Mailing Address

130 Town Center Dr, Ste 203

Troy, MI 480841744

Phone: 2485512040

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.