Provider Demographics
NPI:1538100193
Name:POPOVIC, JADRANKA (MD)
Entity Type:Individual
Prefix:DR
First Name:JADRANKA
Middle Name:
Last Name:POPOVIC
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 1:1789 S BRADDOCK AVE
Mailing Address - Street 2:SUITE 294
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15218-1842
Mailing Address - Country:US
Mailing Address - Phone:412-371-3000
Mailing Address - Fax:412-371-8128
Practice Address - Street 1:1789 S BRADDOCK AVE
Practice Address - Street 2:SUITE 294
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1842
Practice Address - Country:US
Practice Address - Phone:412-371-3000
Practice Address - Fax:412-371-8128
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2020-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-293272080P0205X
MO20010328022080P0205X
PAMD4343812080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS04-29327OtherLICENSE
MO2001032802OtherLICENSE
MO205731607Medicaid
MO2001032802OtherLICENSE
H16574Medicare UPIN