Healthcare Provider Details
I. General information
NPI: 1912647991
Provider Name (Legal Business Name): KLARA MILOJKOVIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 03/29/2022
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US
IV. Provider business mailing address
111 MICHIGAN AVE NW
WASHINGTON DC
20010-2916
US
V. Phone/Fax
- Phone: 202-476-5738
- Fax:
- Phone: 202-476-5738
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 74790 |
| License Number State | MN |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2080N0001X |
| Taxonomy | Neonatal-Perinatal Medicine Physician |
| License Number | MD600003778 |
| License Number State | DC |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | 32482 |
| License Number State | MN |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: