Dr Izabella Ilyasov, MD - Pediatrics in Garden City, MI

Dr Izabella Ilyasov, MD is a Pediatrics - Adolescent Medicine physician based in Garden City, Michigan. Dr Izabella Ilyasov is licensed to practice in Michigan (license number 4301060093) and her current practice location is 29150 Ford Rd, Garden City, Michigan. She can be reached at her office (for appointments etc.) via phone at (734) 762-3600.

NPI number for Dr Izabella Ilyasov is 1811968902 and her current mailing address is 45859 Lathum Dr, Novi, Michigan. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1811968902.

Contact Information

Dr Izabella Ilyasov, MD
29150 Ford Rd,
Garden City, MI 48135-2848
(734) 762-3600
(734) 762-3611



Physician's Profile

Full NameDr Izabella Ilyasov
GenderFemale
SpecialityPediatrics - Adolescent Medicine
Location29150 Ford Rd, Garden City, Michigan
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1811968902
  • Provider Enumeration Date: 01/27/2006
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Dr Izabella Ilyasov such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1811968902NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080A0000XPediatrics - Adolescent Medicine 4301060093 (Michigan)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Izabella Ilyasov is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Izabella Ilyasov, MD
45859 Lathum Dr,
Novi, MI 48374-3662

Ph: (248) 910-4892
Dr Izabella Ilyasov, MD
29150 Ford Rd,
Garden City, MI 48135-2848

Ph: (734) 762-3600

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Pediatrics Doctors in Garden City, MI

Dr. Maha Dabbagh, M.D.
Pediatrics
Medicare: Medicare Enrolled
Practice Location: 28248 Ford Rd, Garden City, MI 48135
Phone: 734-458-2222    Fax: 734-425-3665
Wilfredo Momblanco, MD
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 29150 Ford Rd, Garden City, MI 48135
Phone: 734-762-3600    
Dr. Narasimharaju L Bhupathiraju, M.D.
Pediatrics
Medicare: Not Enrolled in Medicare
Practice Location: 577 Inkster Rd, Garden City, MI 48135
Phone: 734-458-2111    Fax: 734-458-1955

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