Dr. Izabella Ilyasov
M.D. | Pediatric Adolescent Medicine | Female
Dr. Izabella Ilyasov, M.D. is a Garden City, Michigan based Pediatric doctor with medical specialization in
Pediatric Adolescent Medicine.
Current practice location of Dr. Izabella Ilyasov is
29150 Ford Rd, Garden City, Michigan - 48135-2848. She can be contacted on phone at
734-762-3600 and fax number 734-762-3611.
Dr. Izabella Ilyasov is a sole proprietor of her business.
NPI number (Unique professional ID) for Dr. Izabella Ilyasov is
1811968902 which was assigned by NPPES on 27 Jan, 2006 and it was last updated on 08 Jul, 2007.
Dr. Izabella Ilyasov license number is
4301060093 for Pediatrics Adolescent Medicine (2080A0000X) in Michigan.
Dr. Izabella Ilyasov specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Complete Profile:
Dr. Izabella Ilyasov basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Adolescent Medicine |
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| Provider Name : | Dr. Izabella Ilyasov |
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| Credential : | M.D. |
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| Gender : | Female |
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Business Address:
Dr. Izabella Ilyasov address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 29150 Ford Rd
Garden City, MI, 48135-2848
United States |
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| Phone Number : | 734-762-3600 |
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| Fax Number : | 734-762-3611 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1811968902 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 27 Jan, 2006 |
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| Last Updated On : | 08 Jul, 2007 |
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Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Izabella Ilyasov are as mentioned. Primary taxonomy code for Dr. Izabella Ilyasov, M.D. is
2080A0000X (Pediatrics Adolescent Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080A0000X | Pediatrics Adolescent Medicine | Yes | 4301060093 | MI |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 45859 Lathum Dr
Novi, MI, 48374-3662
United States |
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| Phone Number : | 248-910-4892 |
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Business Location:
Patients can refer following map for directions to
Dr. Izabella Ilyasov practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.