Healthcare Provider Details

I. General information

NPI: 1114422375
Provider Name (Legal Business Name): IRINA HILLMAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: IRINA ARTISHUK MD

II. Dates (important events)

Enumeration Date: 03/28/2018
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 N LA CHOLLA BLVD
TUCSON AZ
85741-3529
US

IV. Provider business mailing address

1701 OAK PARK BLVD
LAKE CHARLES LA
70601-8911
US

V. Phone/Fax

Practice location:
  • Phone: 520-742-9000
  • Fax:
Mailing address:
  • Phone: 337-494-3000
  • Fax: 605-312-9802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberT9566
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number346325
License Number StateLA
# 3
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number82460
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: