Provider Demographics
NPI:1760480701
Name:AVRAMOVSKI, NENAD RISTO (MD)
Entity Type:Individual
Prefix:DR
First Name:NENAD
Middle Name:RISTO
Last Name:AVRAMOVSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 15849
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31416-2549
Mailing Address - Country:US
Mailing Address - Phone:912-354-5543
Mailing Address - Fax:912-354-9365
Practice Address - Street 1:1326 EISENHOWER DR
Practice Address - Street 2:BLDG 2
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3928
Practice Address - Country:US
Practice Address - Phone:912-354-5543
Practice Address - Fax:912-354-9365
Is Sole Proprietor?:No
Enumeration Date:2005-07-13
Last Update Date:2015-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA054785207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA851215OtherBCBS
GA750470687AMedicaid
SCG54785Medicaid
SCG54785Medicaid
GA851215OtherBCBS