Borissov, Mihail Valeriev

Borissov, Mihail Valeriev is an individual health care provider with primary practice located at 1214 Coolidge Blvd , Lafayette LA 70503-2621. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Borissov, Mihail Valeriev can be contacted via phone (337) 289-7991.

Contact Information

Primary practice address
1214 Coolidge Blvd Lafayette LA 70503-2621
Phone: (337) 289-7991
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X MD.204610 Louisiana

Profile Details

NPI number 1679732747
LBN Legal business name Borissov, Mihail Valeriev
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2008
Last updated Jun 16th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679732747 NPPES
Louisiana MEDICAID 1082961

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