Provider Demographics
NPI:1528035037
Name:MILEUSNIC, DARINKA (MD PHD)
Entity Type:Individual
Prefix:
First Name:DARINKA
Middle Name:
Last Name:MILEUSNIC
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1924 ALCOA HIGHWAY
Mailing Address - Street 2:
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37920-6999
Mailing Address - Country:US
Mailing Address - Phone:865-305-8994
Mailing Address - Fax:865-305-6866
Practice Address - Street 1:1924 ALCOA HIGHWAY
Practice Address - Street 2:
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37920-6999
Practice Address - Country:US
Practice Address - Phone:865-305-8994
Practice Address - Fax:865-305-6866
Is Sole Proprietor?:No
Enumeration Date:2006-03-02
Last Update Date:2010-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN36232207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology