Provider Demographics
NPI:1922197730
Name:BELLIL, DALILA FARIDA (MD)
Entity Type:Individual
Prefix:DR
First Name:DALILA
Middle Name:FARIDA
Last Name:BELLIL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9237 UNIVERSITY BLVD
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29406-9189
Mailing Address - Country:US
Mailing Address - Phone:843-478-2019
Mailing Address - Fax:843-863-0398
Practice Address - Street 1:9237 UNIVERSITY BLVD
Practice Address - Street 2:
Practice Address - City:NORTH CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9189
Practice Address - Country:US
Practice Address - Phone:843-478-2019
Practice Address - Fax:843-863-0398
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-11
Last Update Date:2010-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18745207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCH550377404Medicare UPIN