Healthcare Provider Details

I. General information

NPI: 1497786826
Provider Name (Legal Business Name): SMILJANA ISTVANIC-ZDRAVKOVIC MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: SMILJANA ISTVANIC MD

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 07/27/2023
Certification Date: 07/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2570 HAYMAKER RD
MONROEVILLE PA
15146-3513
US

IV. Provider business mailing address

2570 HAYMAKER RD
MONROEVILLE PA
15146-3513
US

V. Phone/Fax

Practice location:
  • Phone: 412-858-2560
  • Fax: 412-858-3264
Mailing address:
  • Phone: 412-858-2560
  • Fax: 412-858-3264

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZC0500X
TaxonomyCytopathology Physician
License NumberMD429287
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code207ZP0101X
TaxonomyAnatomic Pathology Physician
License NumberMD429287
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: