Individual
IRINA KOSTOVA DIMITROVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2350 N LAKE DR, MILWAUKEE, WI 53211-4528
(414) 585-1949
Mailing address
400 W RIVER WOODS PKWY, GLENDALE, WI 53212-1060
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
01088502A
IN
207V00000X
Obstetrics & Gynecology Physician
Primary
036145323
IL
207V00000X
Obstetrics & Gynecology Physician
4301080622
MI
207V00000X
Obstetrics & Gynecology Physician
44128
CO
207V00000X
Obstetrics & Gynecology Physician
MD60306703
WA
207VX0201X
Gynecologic Oncology Physician
4301080622
MI
207VX0201X
Gynecologic Oncology Physician
DR.0044128
CO
207VX0201X
Gynecologic Oncology Physician
MD209404
OR
207VX0201X
Gynecologic Oncology Physician
MD479477
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0300248
LABOR AND INDUSTRY
WA
05
—
036145323
—
IL
05
—
06728766
—
CO
05
—
1003847237
—
WA
01
—
MD00521
ALASKA DSHS
AK
Enumeration date
07/05/2006
Last updated
04/30/2026
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