Healthcare Provider Details

I. General information

NPI: 1992903082
Provider Name (Legal Business Name): ZORAN VUKCEVIC M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/10/2007
Last Update Date: 01/21/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1818 E SKY HARBOR CIRCLE BLDG 2 STE. 150
PHOENIX AZ
85034
US

IV. Provider business mailing address

4215 N DRINKWATER BLVD APT 179
SCOTTSDALE AZ
85251-3930
US

V. Phone/Fax

Practice location:
  • Phone: 602-244-9500
  • Fax:
Mailing address:
  • Phone: 602-527-6458
  • Fax: 480-947-3794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204F00000X
TaxonomyTransplant Surgery Physician
License NumberMD424154
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code2086S0102X
TaxonomySurgical Critical Care Physician
License NumberMD424154
License Number StatePA
# 3
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number41018
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: