Radovic, Vladan

Radovic, Vladan is an individual health care provider with primary practice located at 462 Grider Street , Buffalo NY 14215. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Vascular Neurology. Allopathic & Osteopathic Physicians / Neurology is his primary health care specialty. Radovic, Vladan can be contacted via phone (716) 898-3638.

Contact Information

Primary practice address
462 Grider Street Buffalo NY 14215
Phone: (716) 898-3638
Fax: (716) 898-5202
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 002513-1 New York
Allopathic & Osteopathic Physicians / Neurology 2084N0400X 268007 New York
Allopathic & Osteopathic Physicians / Vascular Neurology 2084V0102X 268007 New York

Profile Details

NPI number 1780664441
LBN Legal business name Radovic, Vladan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2006
Last updated Oct 14th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780664441 NPPES
New York MEDICAID 02370261

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