Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Idil Ezhuthachan, MD

Individual provider Pediatrics Physician · NPI 1891101432

Idil Ezhuthachan, MD is a Pediatrics Physician in Royal Oak, Michigan. Licensed in Michigan. Registered with an NPI since 2014.

Licensed in
MI
In the registry since
2014
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone: (248) 551-2040
Fax: (248) 898-9677
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 4301105270 (MI)

Record details

NPI number1891101432
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 3, 2014
Last updated in NPPESFebruary 12, 2018
Mailing address130 Town Center Dr, Ste 203, Troy, MI 48084-1744

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