Provider Demographics
NPI:1588897169
Name:POPOVIC, ZORAN B (MD)
Entity type:Individual
Prefix:DR
First Name:ZORAN
Middle Name:B
Last Name:POPOVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:J1-5
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-445-6003
Mailing Address - Fax:216-445-6150
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:J1-5
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-445-6003
Practice Address - Fax:216-445-6150
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-28
Last Update Date:2010-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.095433207RC0000X
OH35.09433207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease