Provider Demographics
NPI:1790361665
Name:MIHAJLOVIC, MILOS (MD)
Entity Type:Individual
Prefix:
First Name:MILOS
Middle Name:
Last Name:MIHAJLOVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3424 KOSSUTH AVE RM 10C02
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10467-2489
Mailing Address - Country:US
Mailing Address - Phone:718-519-3817
Mailing Address - Fax:718-519-2336
Practice Address - Street 1:3424 KOSSUTH AVE RM 10C02
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10467-2489
Practice Address - Country:US
Practice Address - Phone:718-519-3817
Practice Address - Fax:718-519-2336
Is Sole Proprietor?:No
Enumeration Date:2021-03-22
Last Update Date:2021-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program