Dimitrova, Irina Kostova
Dimitrova, Irina Kostova is an sole proprietor health care provider with primary practice located at 2350 N Lake Dr , Milwaukee WI 53211-4528. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Dimitrova, Irina Kostova can be contacted via phone (414) 585-1949.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 01088502A | Indiana |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 4301080622 | Michigan |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 44128 | Colorado |
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | MD60306703 | Washington |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | DR.0044128 | Colorado |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | MD209404 | Oregon |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | 4301080622 | Michigan |
| Allopathic & Osteopathic Physicians / Gynecologic Oncology | 207VX0201X | MD479477 | Pennsylvania |
Profile Details
| NPI number | 1003847237 |
|---|---|
| LBN Legal business name | Dimitrova, Irina Kostova |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 5th, 2006 |
| Last updated | May 29th, 2024 - about 6 months 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 | 1003847237 | NPPES |
| Washington | Other | 0300248 | LABOR AND INDUSTRY |
| Washington | MEDICAID | 1003847237 | LABOR AND INDUSTRY |
| Washington | MEDICAID | 06728766 | LABOR AND INDUSTRY |
| Washington | Other | MD00521 | LABOR AND INDUSTRY |
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