Provider Demographics
NPI:1093881948
Name:MILOSAVLJEVIC, EMIL BOZIDAR (MD)
Entity Type:Individual
Prefix:MR
First Name:EMIL
Middle Name:BOZIDAR
Last Name:MILOSAVLJEVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:EMIL
Other - Middle Name:BOZIDAR
Other - Last Name:MILO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:1305 E TAFT ST
Mailing Address - Street 2:
Mailing Address - City:SAPULPA
Mailing Address - State:OK
Mailing Address - Zip Code:74066-6033
Mailing Address - Country:US
Mailing Address - Phone:918-224-3069
Mailing Address - Fax:918-224-3091
Practice Address - Street 1:1305 E TAFT ST
Practice Address - Street 2:
Practice Address - City:SAPULPA
Practice Address - State:OK
Practice Address - Zip Code:74066-6033
Practice Address - Country:US
Practice Address - Phone:918-224-3069
Practice Address - Fax:918-224-3091
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2008-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK11872207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK731111872005OtherBLUE CROSS BLUE SHIELD
OK1158950001Medicare NSC
OK731111872005OtherBLUE CROSS BLUE SHIELD