Dessislava Dimotrova Iliev in Jackson - Pediatric Anesthesiology
Dessislava Dimotrova Iliev - NPI 1982762845
Dessislava Dimotrova Iliev is a Pediatric Anesthesiology in Jackson, Mississippi. Dessislava Dimotrova Iliev practices all healthcare services and medical treatments related to Pediatric Anesthesiology. The NPI Number for Dessislava Dimotrova Iliev is 1982762845. The last update date is 2015-10-15.
Dessislava Dimotrova Iliev's current location address is 2500 North State Street, Jackson, Mississippi. You can contact this provider via phone number 6019845936 and fax number 6019845939. The mailing address for Dessislava Dimotrova Iliev is 2500 North State Street, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dessislava Dimotrova Iliev |
|---|---|
| Address | 2500 North State Street, Jackson, Mississippi |
| Phone Number | 6019845936 |
| Fax Number | 6019845939 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1982762845 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2015-10-15 |
Provider Mailing Address Detail
| Address | 2500 North State Street |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 39216 |
| Phone Number | 6019845936 |
| Fax Number | 6019845939 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Anesthesiology |
|---|---|
| Taxonomy | 207Lp3000X |
| Licence No | 24023 |
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Definition: An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the eva |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3620888 | MS | -- |
Post Comment/ Review Below
What is the Dessislava Dimotrova Iliev's 1982762845?
The Dessislava Dimotrova Iliev's NPI (National Provider Identifier) Number is 1982762845. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Dessislava Dimotrova Iliev is physically located?
The Dessislava Dimotrova Iliev is physically situated at the following address: 2500 North State Street, Jackson, MS, 39216.
What is Dessislava Dimotrova Iliev's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Dessislava Dimotrova Iliev is Pediatric Anesthesiology, and the taxonomy classification code that categorizes this area of expertise is 207Lp3000X.
On what date did the Dessislava Dimotrova Iliev receive the assignment of its 1982762845 from the Centers for Medicare & Medicaid Services?
The Dessislava Dimotrova Iliev was issued its 1982762845 by the Centers for Medicare & Medicaid Services on 2006-12-04.
As of what date were the details pertaining to Dessislava Dimotrova Iliev last refreshed?
The information related to the Dessislava Dimotrova Iliev, including its address, specialty, and other relevant details, was last updated on 2015-10-15.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC