Provider Demographics
NPI:1811358724
Name:GIKIC, DJORDJE (MD, MPH)
Entity type:Individual
Prefix:
First Name:DJORDJE
Middle Name:
Last Name:GIKIC
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BP 23
Mailing Address - Street 2:CHEZ PIVOT
Mailing Address - City:RANOMAFANA
Mailing Address - State:IFANADIANA
Mailing Address - Zip Code:312
Mailing Address - Country:MG
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:BP 23
Practice Address - Street 2:CHEZ PIVOT
Practice Address - City:RANOMAFANA
Practice Address - State:IFANADIANA
Practice Address - Zip Code:312
Practice Address - Country:MG
Practice Address - Phone:01126133-899-9222
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-19
Last Update Date:2016-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD61488207Q00000X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine