Provider Demographics
NPI:1689720039
Name:DJOKIC, DIVNA (MD)
Entity Type:Individual
Prefix:
First Name:DIVNA
Middle Name:
Last Name:DJOKIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:1100 WASHINGTON AVE STE 215
Mailing Address - Street 2:
Mailing Address - City:CARNEGIE
Mailing Address - State:PA
Mailing Address - Zip Code:15106-3616
Mailing Address - Country:US
Mailing Address - Phone:412-596-8408
Mailing Address - Fax:412-278-5105
Practice Address - Street 1:1789 S BRADDOCK AVE STE 294
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15218-1871
Practice Address - Country:US
Practice Address - Phone:412-325-5200
Practice Address - Fax:412-371-8128
Is Sole Proprietor?:No
Enumeration Date:2007-01-26
Last Update Date:2023-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4278732080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA101843493Medicaid