Individual provider · Type 1 NPI

Viktor Ilyasov, DO

Student in an Organized Health Care Education/Training Program · Detroit, MI

NPI number 1235922303 Active

Practice location

261 Mack Ave
Detroit, MI 48201-2495

Call (313) 745-1203 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1235922303

Viktor Ilyasov, DO's National Provider Identifier is 1235922303, issued on May 22, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Detroit, MI. The record was last updated on Jun 27, 2026.