Gordana Stevanovic in San Diego - Specialist

Gordana Stevanovic - NPI 1083611602

Gordana Stevanovic is a Specialist in San Diego, California. Gordana Stevanovic practices all healthcare services and medical treatments related to Specialist. The NPI Number for Gordana Stevanovic is 1083611602. The last update date is 2016-01-29.

Gordana Stevanovic's current location address is 13112 Evening Creek Dr S, San Diego, California. You can contact this provider via phone number 8188584390 and fax number 3106987054. The mailing address for Gordana Stevanovic is 13112 Evening Creek Dr S, San Diego, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gordana Stevanovic
Address 13112 Evening Creek Dr S, San Diego, California
Phone Number 8188584390
Fax Number 3106987054
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1083611602
Provider Enumeration Date 2005-06-29
Last Updated Date 2016-01-29

Provider Mailing Address Detail

Address 13112 Evening Creek Dr S
City San Diego
State California (CA)
Post Code 9212841080
Phone Number 8188584390
Fax Number 3106987054

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Licence No A48595
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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FAQs about Gordana Stevanovic

What is the unique provider identifier assigned to Gordana Stevanovic?

The Gordana Stevanovic has been issued the NPI (National Provider Identifier) 1083611602 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete address where Gordana Stevanovic is physically located?

The Gordana Stevanovic is situated at the following address: 13112 Evening Creek Dr S, San Diego, CA 9212841080.

What is Gordana Stevanovic's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Gordana Stevanovic is Specialist, and the taxonomy code that classifies this field of practice is 174400000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1083611602 to Gordana Stevanovic?

The Centers for Medicare & Medicaid Services originally issued the 1083611602 to Gordana Stevanovic on 2005-06-29.

As of what date was the information regarding Gordana Stevanovic, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Gordana Stevanovic, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-01-29.

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