Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. IZABELLA ILYASOV M.D.
NPI 1811968902
Pediatrics - Adolescent Medicine in Garden City, MI

Active since January 27, 2006
29150 FORD RD, GARDEN CITY, MI 48135(734) 762-3600(734) 762-3611 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Izabella Ilyasov M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IZABELLA ILYASOV M.D. (NPI 1811968902) is an individual adolescent medicine provider in Garden City, Michigan, licensed in Michigan (4301060093) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1811968902
Entity TypeIndividualFemale
Primary Taxonomy2080A0000X
Provider Legal NameDR. IZABELLA ILYASOVCredential: M.D.
Location Address29150 FORD RDGarden City, MI 48135-2848
Mailing Address45859 Lathum DrNovi, MI 48374-3662 · (248) 910-4892
Fax(734) 762-3611
Sole ProprietorNo
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1811968902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
License Licensed in MI · 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.
29150 FORD RD, Garden City, MI 48135

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
29150 FORD RD
GARDEN CITY, MI 48135
Family Medicine
29150 FORD RD
GARDEN CITY, MI 48135
Nurse Practitioner (Family)
29150 FORD RD
GARDEN CITY, MI 48135
Family Medicine
29150 FORD RD
GARDEN CITY, MI 48135
Family Medicine
29150 FORD RD
GARDEN CITY, MI 48135
Family Medicine
29150 FORD RD
GARDEN CITY, MI 48135
Family Medicine
29150 FORD RD
GARDEN CITY, MI 48135
Family Medicine
29150 FORD RD
GARDEN CITY, MI 48135

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Izabella Ilyasov's NPI number?

The NPI number for Izabella Ilyasov is 1811968902. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Izabella Ilyasov located?

Izabella Ilyasov practices at 29150 Ford Rd, Garden City, MI 48135. The listed phone number is (734) 762-3600.

What is Izabella Ilyasov's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

When was this NPI record last updated?

The NPPES record for Izabella Ilyasov was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 24 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.