Provider Demographics
NPI:1982640439
Name:CAPRA, BILJANA (MD)
Entity Type:Individual
Prefix:
First Name:BILJANA
Middle Name:
Last Name:CAPRA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BILJANA
Other - Middle Name:
Other - Last Name:OBRADOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1922 SAINT ANTHONY PKWY
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55418-2206
Mailing Address - Country:US
Mailing Address - Phone:612-789-3697
Mailing Address - Fax:
Practice Address - Street 1:69 EXCHANGE ST W
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-1004
Practice Address - Country:US
Practice Address - Phone:651-232-3640
Practice Address - Fax:651-232-3632
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN408892084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNH24650Medicare UPIN