Provider Demographics
NPI:1992903082
Name:VUKCEVIC, ZORAN (MD)
Entity type:Individual
Prefix:DR
First Name:ZORAN
Middle Name:
Last Name:VUKCEVIC
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 1:4215 N DRINKWATER BLVD
Mailing Address - Street 2:APT 179
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-3930
Mailing Address - Country:US
Mailing Address - Phone:602-527-6458
Mailing Address - Fax:480-947-3794
Practice Address - Street 1:1818 E SKY HARBOR CIRCLE BLDG 2 STE. 150
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85034
Practice Address - Country:US
Practice Address - Phone:602-244-9500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2010-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424154204F00000X, 2086S0102X
AZ41018207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No2086S0102XAllopathic & Osteopathic PhysiciansSurgerySurgical Critical Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ41018OtherSTATE LICENSE
PAMD424154OtherPA STATE LICENSE
AZZ132924Medicare UPIN
PAMD424154OtherPA STATE LICENSE