MEDICARE: DR. JADRANKA POPOVIC M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2080P0205X	Pediatric Endocrinology Physician	04-29327	KS
2	2080P0205X	Pediatric Endocrinology Physician	2001032802	MO
3	2080P0205X	Pediatric Endocrinology Physician	MD434381	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	04-29327	OTHER	KS	LICENSE
2	2001032802	OTHER	MO	LICENSE
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538100193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JADRANKA POPOVIC M.D.

Provider Business Mailing Address
First Line	:	1789 S BRADDOCK AVE
Second Line	:	SUITE 294
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1842
Country	:	US
Telephone Number	:	412-371-3000
Fax Number	:	412-371-8128

Provider Business Practice Location Address
First Line	:	1789 S BRADDOCK AVE
Second Line	:	SUITE 294
City	:	PITTSBURGH
State	:	PA
Zip	:	15218-1842
Country	:	US
Telephone Number	:	412-371-3000
Fax Number	:	412-371-8128

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/08/2006
Last Update Date	:	10/01/2020

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Directions to “ DR. JADRANKA POPOVIC M.D.” Practice Location

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