Izabella Ilyasov in Garden City - Adolescent Medicine
Izabella Ilyasov - NPI 1811968902
Izabella Ilyasov is a Adolescent Medicine in Garden City, Michigan. Izabella Ilyasov practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Izabella Ilyasov is 1811968902. The last update date is 2007-07-08.
Izabella Ilyasov's current location address is 29150 Ford Rd, Garden City, Michigan. You can contact this provider via phone number 7347623600 and fax number 7347623611. The mailing address for Izabella Ilyasov is 29150 Ford Rd, Garden City, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Izabella Ilyasov |
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Address | 29150 Ford Rd, Garden City, Michigan |
Phone Number | 7347623600 |
Fax Number | 7347623611 |
Sole Proprietor | X |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1811968902 |
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Provider Enumeration Date | 2006-01-27 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 29150 Ford Rd |
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City | Garden City |
State | Michigan (MI) |
Post Code | 481352848 |
Phone Number | 7347623600 |
Fax Number | 7347623611 |
Provider's Primary Taxonomy Detail
Speciality | Adolescent Medicine |
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Taxonomy | 2080A0000X |
Licence No | 4301060093 |
Definition: A pediatrician who 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. |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Izabella Ilyasov by the Centers for Medicare & Medicaid Services?
The Izabella Ilyasov has been issued the NPI (National Provider Identifier) 1811968902 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Izabella Ilyasov is physically located?
The Izabella Ilyasov is physically situated at the following address: 29150 Ford Rd, Garden City, MI, 481352848.
What is Izabella Ilyasov's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Izabella Ilyasov is Adolescent Medicine, and the taxonomy classification code that categorizes this area of expertise is 2080A0000X.
On what date was the 1811968902 assigned to Izabella Ilyasov?
The Izabella Ilyasov was issued its 1811968902 on 2006-01-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Izabella Ilyasov last refreshed?
The information related to the Izabella Ilyasov, including its address, specialty, and other relevant details, was last updated on 2007-07-08.