Individual
MICHELLE IZMAYLOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1161 21ST AVE S, D-3100 MEDICAL CENTER NORTH, NASHVILLE, TN 37232-0011
(615) 343-0339
Mailing address
3841 GREEN HILLS VILLAGE DR STE 200, NASHVILLE, TN 37215-2691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
61171
TN
208M00000X
Hospitalist Physician
Primary
61171
TN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/16/2017
Last updated
03/18/2022
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