Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Viktor Ilyasov, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235922303

Viktor Ilyasov, DO is a Student in an Organized Health Care Education/Training Program in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2025.

Licensed in
MI
In the registry since
2025
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

261 Mack Ave
Detroit, MI 48201-2495
Phone: (313) 745-1203
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X (MI)

Record details

NPI number1235922303
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 22, 2025
Last updated in NPPESJune 27, 2026
Certification dateJune 27, 2026

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