Individual
OLGA OSTROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
(601) 984-5939
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 984-5900
(601) 984-5939
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
17633
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125868
—
MS
01
—
050088640
RAILROAD MEDICARE
MS
01
—
P00636224
RAILROAD MEDICARE
MS
Enumeration date
09/28/2006
Last updated
06/15/2012
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