Individual provider · Type 1 NPI

Diana Izhakov

Registered Nurse · Philadelphia, PA

NPI number 1093935520 Active · reactivated Jul 22, 2026

Practice location

10205 Rubin Ln
Philadelphia, PA 19116-3768

Call (267) 671-8097 Map

Mailing address

9926 Haldeman Ave, Apt A134
Philadelphia, PA 19115-1609

Specialties and licenses

Taxonomy	Code	License
Licensed Practical Nurse	164W00000X	PN267880 (PA)
Registered Nurse Primary	163W00000X	RN598514 (PA)

Registered Nurse: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient…

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About NPI 1093935520

Diana Izhakov's National Provider Identifier is 1093935520, issued on Apr 26, 2007. The primary taxonomy on file is Registered Nurse (163W00000X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 22, 2026.