MEDICARE: DR. JOSIF STAKIC 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	174400000X	Specialist	MD445687	PA

General Provider Information

NPI Number	:	1720249832
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSIF STAKIC M.D.

Provider Business Mailing Address
First Line	:	120 LYTTON AVE STE 250
Second Line	:
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-1481
Country	:	US
Telephone Number	:	412-647-9494
Fax Number	:	412-647-9554

Provider Business Practice Location Address
First Line	:	200 LOTHROP ST
Second Line	:	UPMC MONTEFIORE, SUITE N713
City	:	PITTSBURGH
State	:	PA
Zip	:	15213-2536
Country	:	US
Telephone Number	:	412-692-4700
Fax Number	:

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

Provider Enumeration Date	:	06/20/2008
Last Update Date	:	01/16/2026

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Directions to “ DR. JOSIF STAKIC M.D.” Practice Location

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