Provider Demographics
NPI:1952399321
Name:JANIC, BILJANA (MD)
Entity Type:Individual
Prefix:
First Name:BILJANA
Middle Name:
Last Name:JANIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:BILJANA
Other - Middle Name:
Other - Last Name:STANKOVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:3028 PIER HARBOR DR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-0910
Mailing Address - Country:US
Mailing Address - Phone:702-412-2700
Mailing Address - Fax:
Practice Address - Street 1:6900 N PECOS RD
Practice Address - Street 2:
Practice Address - City:N LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89086-4400
Practice Address - Country:US
Practice Address - Phone:702-791-9000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV12223207R00000X, 208M00000X
IN01061347A207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1952399321Medicaid