Healthcare Provider Details

I. General information

NPI: 1386271971
Provider Name (Legal Business Name): JULIJANA ZORAN CONIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2020
Last Update Date: 06/14/2024
Certification Date: 06/14/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1542 TULANE AVE # T4M2
NEW ORLEANS LA
70112-2865
US

IV. Provider business mailing address

1542 TULANE AVE # T4M2
NEW ORLEANS LA
70112-2865
US

V. Phone/Fax

Practice location:
  • Phone: 504-568-5600
  • Fax:
Mailing address:
  • Phone: 504-568-5600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number01093830A
License Number StateIN
# 3
Primary TaxonomyY
Taxonomy Code207RG0300X
TaxonomyGeriatric Medicine (Internal Medicine) Physician
License Number01093830A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: