Borissova, Irina V
Borissova, Irina V is an individual health care provider with primary practice located at 2500 N State St Dept. Of Anesthesiology, Jackson MS 39216-4500. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatric Anesthesiology is her primary health care specialty. Borissova, Irina V can be contacted via phone (601) 984-5900.Contact Information
Primary practice address
2500 N State St Dept. Of Anesthesiology
Jackson MS 39216-4500
Phone: (601) 984-5900
Fax: (601) 984-5939
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | N1268 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | N1268 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | N1268 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Anesthesiology | 207LP3000X | 21550 | Mississippi |
Profile Details
| NPI number | 1689641649 |
|---|---|
| LBN Legal business name | Borissova, Irina V |
| Credentials | MD, PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 8th, 2006 |
| Last updated | Jun 14th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689641649 | NPPES |
| Texas | MEDICAID | 197750601 | |
| Texas | MEDICAID | 06276558 | |
| Texas | Other | 302I050811 | |
| Texas | Other | N1268 | |
| Texas | MEDICAID | 197750605 | |
| Texas | Other | 197750606 |
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