Provider Demographics
NPI:1841333614
Name:JEVTOVIC-TODOROVIC, VESNA (MD, PHD, MBA)
Entity type:Individual
Prefix:PROF
First Name:VESNA
Middle Name:
Last Name:JEVTOVIC-TODOROVIC
Suffix:
Gender:F
Credentials:MD, PHD, MBA
Other - Prefix:PROF
Other - First Name:VESNA
Other - Middle Name:DRAGOMIR
Other - Last Name:TODOROVIC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12605 E 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2545
Mailing Address - Country:US
Mailing Address - Phone:720-848-0000
Mailing Address - Fax:
Practice Address - Street 1:12605 E 16TH AVE
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2545
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2016-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO56228207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAF96746Medicare UPIN