# OLGA IZOTOVA

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528272754
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | 2009-00246 | NC | Yes |

## Other

- **Enumeration date:** 05/09/2007
- **Last updated:** 01/23/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1526G | BC/BS NC | — |
| 01 | — | 1532117 | CIGNA HEALTHCARE PROVIDER\# | — |
| 01 | — | 218241 | MEDCOST PROVIDER\# | — |
| 05 | — | 5911652 | — | NC |
| 01 | — | N0024F | SC MEDICAID PROVIDER \# | SC |
| 01 | — | N0024F | SC MEDICAID | — |
| 01 | — | P00726968 | RAILROAD MEDICARE | — |