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Contact Information

IRINA V BORISSOVA, MD, PHD
2500 N STATE ST
DEPT. OF ANESTHESIOLOGY
JACKSON, MS39216-4500
 Phone: 601-984-5900
 Fax: 601-984-5939
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Anesthesiology

207LP3000X 05 Physician/Anesthesiology
 

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for IRINA V BORISSOVA · (Female)

NPI Number 1689641649
Status Active
Credentials MD, PHD
Entity Individual
Enumeration date 03/08/2006
Last updated 06/14/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • MS License # 21550
  • TX License # N1268
  • MS Medicaid 06276558
  • TX Medicaid 197750601
  • TX Medicaid 197750605
  • MS Other 302I050811 MEDICARE PTAN
  • TX Other 197750606 CSHCN
  • TX Other N1268 STATE LICENSE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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