Provider Demographics
NPI:1811345523
Name:DRAGOJEVIC, ROMANA (MD)
Entity type:Individual
Prefix:
First Name:ROMANA
Middle Name:
Last Name:DRAGOJEVIC
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 1:2213 CHERRY ST
Mailing Address - Street 2:MERCY ST. VINCENT MEDICAL CENTER
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608
Mailing Address - Country:US
Mailing Address - Phone:419-251-4554
Mailing Address - Fax:419-251-6795
Practice Address - Street 1:2213 FRANKLIN AVE
Practice Address - Street 2:MERCY FAMILY CARE CENTER
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43620
Practice Address - Country:US
Practice Address - Phone:419-251-2360
Practice Address - Fax:419-251-2393
Is Sole Proprietor?:No
Enumeration Date:2016-06-03
Last Update Date:2019-08-05
Deactivation Date:2017-01-20
Deactivation Code:
Reactivation Date:2017-01-20
Provider Licenses
StateLicense IDTaxonomies
CT4513207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine