Provider Demographics
NPI:1992788392
Name:MILOSEVIC, MILIVOJ (MD)
Entity type:Individual
Prefix:
First Name:MILIVOJ
Middle Name:
Last Name:MILOSEVIC
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:PO BOX A D
Mailing Address - Street 2:
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95992-1396
Mailing Address - Country:US
Mailing Address - Phone:530-751-3769
Mailing Address - Fax:530-751-1237
Practice Address - Street 1:231 MAIN ST.
Practice Address - Street 2:
Practice Address - City:HAMILTON CITY
Practice Address - State:CA
Practice Address - Zip Code:95951
Practice Address - Country:US
Practice Address - Phone:530-826-3694
Practice Address - Fax:530-826-3120
Is Sole Proprietor?:No
Enumeration Date:2005-11-21
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA35729207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
00A357290Medicare ID - Type Unspecified
A84804Medicare UPIN