Provider Demographics
NPI:1023119229
Name:MULLOKANDOV, IZABELLA (MD)
Entity type:Individual
Prefix:
First Name:IZABELLA
Middle Name:
Last Name:MULLOKANDOV
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:ONE BROOKDALE PLAZA, BROOKDALE HOSPITAL, RADIOLOGY
Mailing Address - Street 2:ROOM #309
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11212-3198
Mailing Address - Country:US
Mailing Address - Phone:718-240-5425
Mailing Address - Fax:718-240-6620
Practice Address - Street 1:ONE BROOKDALE PLAZA, BROOKDALE HOSPITAL, RADIOLOGY
Practice Address - Street 2:ROOM #309
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11212-3198
Practice Address - Country:US
Practice Address - Phone:718-240-5425
Practice Address - Fax:718-240-6620
Is Sole Proprietor?:No
Enumeration Date:2006-09-26
Last Update Date:2024-09-03
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Provider Licenses
StateLicense IDTaxonomies
NY206986207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine