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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 14 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 1689641649 NPPES
Texas MEDICAID 197750601
Texas MEDICAID 06276558
Texas Other 302I050811
Texas Other N1268
Texas MEDICAID 197750605
Texas Other 197750606

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