Individual provider · Type 1 NPI
Ivan Borissow, PA-C
Physician Assistant · Baltimore, MD
Practice location
5601 Loch Raven Blvd
Baltimore, MD 21239-2945
Other practice locations
- 4940 Eastern Ave Bldg 5W, Baltimore, MD 21224-2735 · (410) 550-0942
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant Primary | 363A00000X | C04854 (MD) |
Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…
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About NPI 1194080374
Ivan Borissow, PA-C's National Provider Identifier is 1194080374, issued on Jul 12, 2012. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Baltimore, MD. The record was last updated on May 11, 2020.