Provider Demographics
NPI:1023222726
Name:MILOJKOVIC, NATASA (MD)
Entity Type:Individual
Prefix:
First Name:NATASA
Middle Name:
Last Name:MILOJKOVIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 W MARKHAM ST
Mailing Address - Street 2:#508
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72205-7101
Mailing Address - Country:US
Mailing Address - Phone:501-686-8511
Mailing Address - Fax:501-686-6342
Practice Address - Street 1:4301 W MARKHAM ST
Practice Address - Street 2:#508
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-686-8511
Practice Address - Fax:501-686-6342
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2011-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
174400000X
ARE5583207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR171601001Medicaid
OK200197530AMedicaid
AR171601001Medicaid