Ivana Radovanovic MD

NPI 1003840208 - Pediatrics - 208000000X

NPI Details
NPI 1003840208
Gender Female
Enumeration Date 07/11/2006
Last Updated 11/19/2008
Entity Type Individual
Active Over 10 years ago
Practice Location
2211 LOMAS NE ACC 3W
ALBUQUERQUE NM, 87131-0001, US
Phone (505) 272-6632
Fax (505) 272-6620
Business Location
2211 LOMAS NE ACC 3W
ALBUQUERQUE NM, 87131-0001, US
Phone (505) 272-6632
Fax (505) 272-6620
Toxanomy
Taxonomy Code 208000000X
License State New Mexico
License Number MD20050640
Remove 1003840208 NPI Number
 

According to our database, Ivana Radovanovic MD NPI is 1003840208, taxonomy code is 208000000X and license number is MD20050640, license state is located at New Mexico. Ivana Radovanovic MD physically located at 2211 Lomas Ne Acc 3w, Albuquerque NM, 87131-0001. NPI Number Ivana Radovanovic MD has the Individual type.

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1003840208 NPI number is provided on an as is basis without warranty of any kind. 1003840208 is maintained by the National Plan & Provider Enumeration System. The contents of Ivana Radovanovic MD are for informational purposes only.