Iliev, Dessislava Dimotrova

Iliev, Dessislava Dimotrova is an individual health care provider with primary practice located at 2500 North State Street Department Of Anesthesiology, Suite S108-A, Jackson MS 39216. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Anesthesiology, which is considered as her primary health care specialty. Iliev, Dessislava Dimotrova can be contacted via phone (601) 984-5936.

Contact Information

Primary practice address
2500 North State Street Department Of Anesthesiology, Suite S108-A Jackson MS 39216
Phone: (601) 984-5936
Fax: (601) 984-5939
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Anesthesiology 207LP3000X 24023 Mississippi

Profile Details

NPI number 1982762845
LBN Legal business name Iliev, Dessislava Dimotrova
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2006
Last updated Oct 15th, 2015 - about 9 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 1982762845 NPPES
Mississippi MEDICAID 03620888

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