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1972824902
ILYA ALISHAYEV
CHARLOTTE, NC
NPI
1972824902
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 2016-00823)
Enumeration Date
2010-06-14
Last Update Date
2020-09-25
Business Address
ILYA ALISHAYEV DO
101 E WT HARRIS BLVD STE 5002
CHARLOTTE, NC 28262-3485
Phone number: 704-801-7310
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Mailing Address
ILYA ALISHAYEV DO
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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