M.D. Mio M Stikovac, NPI 1134205735
Cardiovascular Disease Physician in Nellis Afb, NV, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1134205735
NPI Entity Type Individual
Provider Name M.D. Mio M Stikovac
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 4700 Las Vegas Blvd N, Nellis Afb, NV, US
Provider Mailing Address 4700 Las Vegas Blvd N, Nellis Afb, NV, US, 89191
Is Sole Proprietor? No
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Primary Taxonomy

Taxonomy Code

207RC0000X

Taxonomy Name Cardiovascular Disease Physician
Classification

Internal Medicine

Group

Allopathic & Osteopathic Physicians

License No. 30015
License State KY
Description An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Other Name

M.D. Miodrag Stikovac
Former Name

Business Address

M.D. Mio M Stikovac
4700 Las Vegas Blvd N

Nellis Afb, NV, US

Phone: 702-653-3257

Mailing Address

M.D. Mio M Stikovac
4700 Las Vegas Blvd N
Nellis Afb, NV, US
ZIP 89191
Phone: 702-653-3257

Secondary Taxonomies

Taxonomy Code Group Classification License No. State Primary?

207RC0000X

Allopathic & Osteopathic Physicians

Internal Medicine

01049387A IN No

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
200059360 IN MEDICAID 05
3121962 BCBS TENNESSEE 01
060057636 IN RAILROAD MEDICARE/MADISON 01
159683 KY SIHO-CTS 01
415633P IN SIHO 01
1169908 CHA PROVIDER NETWORK 01
835778 FIRST HEALTH 01
P01333108 KY MEDICARE RR-CTS 01
000000867525 KY ANTHEM-CTS 01
299856 FEDERAL BLACK LUNG PROGRA 01
50065353 KY PASSPORT-CTS 01
060052920 RAILROAD MEDICARE TVILLE 01
2552053001 CIGNA 01
000000052136 KY ANTHEM BCBS 01
1079152 PASSPORT HEALTH PLAN 01
25-00439 KY UNITED HEALTHCARE 01
64300155 KY MEDICAID 05
060052923 KY RAILROAD MEDICARE 01
6113371060A11 ANTHEM SR. ADVANTAGE 01

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