Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207SG0201X | Clinical Genetics (M.D.) | K5188 | TX |
N | 207SG0201X | Clinical Genetics (M.D.) | MD437344 | PA |
N | 207V00000X | Obstetrician & Gynecologist | K5188 | TX |
Y | 207V00000X | Obstetrician & Gynecologist | MD437344 | PA |
NPI | 1588744908 |
---|---|
Provider Name | Aleksandar Rajkovic |
First Address | Pittsburgh, PA 15213-3180 |
Second Address | Pittsburgh, PA 15213-3180 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/10/2006 |
Last Update Date | 30/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1023771300001 | (05) | PA |
117037503 | (05) | TX |
G77070 | (02) |