Individual provider · Type 1 NPI

Izabella Ilyasov, MD

Pediatric Adolescent Medicine Physician · Garden City, MI

NPI number 1811968902 Active

Practice location

29150 Ford Rd
Garden City, MI 48135-2848

Call (734) 762-3600 Map

Fax (734) 762-3611

Mailing address

45859 Lathum Dr
Novi, MI 48374-3662

Specialties and licenses

TaxonomyCodeLicense
Pediatric Adolescent Medicine Physician Primary 2080A0000X4301060093 (MI)

Pediatric Adolescent Medicine Physician: 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.

10 other providers at this address

Other pediatric adolescent medicine physician providers in Garden City

See all in Garden City →

About NPI 1811968902

Izabella Ilyasov, MD's National Provider Identifier is 1811968902, issued on Jan 27, 2006. The primary taxonomy on file is Pediatric Adolescent Medicine Physician (2080A0000X), and the practice location is in Garden City, MI. The record was last updated on Jul 13, 2026.