Provider Demographics
NPI:1124587050
Name:STOJKIC, IVANA (MD)
Entity Type:Individual
Prefix:DR
First Name:IVANA
Middle Name:
Last Name:STOJKIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:IVANA
Other - Middle Name:
Other - Last Name:STOJKIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:IVANA STOJKIC
Mailing Address - Street 1:700 CHILDRENS DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205-2664
Mailing Address - Country:US
Mailing Address - Phone:614-722-5525
Mailing Address - Fax:
Practice Address - Street 1:700 CHILDRENS DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2664
Practice Address - Country:US
Practice Address - Phone:614-722-5525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-03-19
Last Update Date:2022-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.1448532080P0216X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0216XAllopathic & Osteopathic PhysiciansPediatricsPediatric Rheumatology