Doctor Name: | MR. BORISLAV HRISTOV |
NPI Number: | 1972672392 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 23767 |
Business Practice Address: | 953 Broadway Johns Hopkins Hospital Weinberg Building Baltimore, MD - 21231 |
Business Phone Number: | 4102836405 |
Business Fax Number: | |
Mailing Address: | 1000 Fell St, Unit #209 BALTIMORE |
State: | MD |
Postal Code: | 212313529 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 171000000X |
License Number: | 23767 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NE |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Military Health Care Provider |
Taxonomy Specialization: | |
Taxonomy Definition: | Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes. |