Ilyasov, Izabella

Ilyasov, Izabella is an individual health care provider with primary practice located at 29150 Ford Rd , Garden City MI 48135-2848. She recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as her primary health care specialty. Ilyasov, Izabella can be contacted via phone (734) 762-3600.

Contact Information

Primary practice address
29150 Ford Rd Garden City MI 48135-2848
Phone: (734) 762-3600
Fax: (734) 762-3611
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 4301060093 Michigan

Profile Details

NPI number 1811968902
LBN Legal business name Ilyasov, Izabella
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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