Individual
MALIKA M ISRAILOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-6259
Mailing address
700 S PARK ST, MADISON, WI 53715-1830
(608) 251-6100
(608) 258-6259
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61075-20
WI
208M00000X
Hospitalist Physician
Primary
61075-20
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497065189
—
WI
Enumeration date
10/14/2010
Last updated
11/25/2020
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