Irina Kostova Dimitrova
Obstetrician & Gynecologist Gynecologic Oncologist and 1 more
6777 W Maple Rd
West Bloomfield
, Michigan 48322-3013
Irina Kostova Dimitrova
Obstetrician & Gynecologist Gynecologic Oncologist and 1 more
6777 W Maple Rd
West Bloomfield
, Michigan 48322-3013
(248) 325-1000
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About
Features
Specialties
- Obstetrician & Gynecologist
- Gynecologic Oncologist
Languages spoken
- English
Location
First Address
- Irina Kostova Dimitrova
- 6777 W Maple Rd
- West Bloomfield, MI
- Zip : 48322-3013
- Phone : (248) 325-1000
Second Address
- Irina Kostova Dimitrova
- 6777 W Maple Rd
- West Bloomfield, MI
- Zip : 48322-3013
- Phone : (248) 325-1000
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Is Irina Kostova Dimitrova a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207V00000X | Obstetrician & Gynecologist | 4301080622 | MI |
| N | 207V00000X | Obstetrician & Gynecologist | 44128 | CO |
| N | 207V00000X | Obstetrician & Gynecologist | MD60306703 | WA |
| N | 207VX0201X | Gynecologic Oncologist | 4301080622 | MI |
| N | 207VX0201X | Gynecologic Oncologist | DR.0044128 | CO |
National Provider Identifier
| NPI | 1003847237 |
|---|---|
| Provider Name | Irina Kostova Dimitrova |
| First Address | West Bloomfield, MI 48322-3013 |
| Second Address | West Bloomfield, MI 48322-3013 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/07/2006 |
| Last Update Date | 13/05/2020 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0300248 | LABOR AND INDUSTRY (01) | WA |
| 06728766 | (05) | CO |
| 1003847237 | (05) | WA |
| MD00521 | ALASKA DSHS (01) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.