| Milan P. Krickovic, M.D., Ltd. | |
|
7605 Forest Ave Suite 109 Richmond VA 23229-4938 | |
| (804) 288-8313 | |
| (804) 287-4365 |
| Full Name | Milan P. Krickovic, M.D., Ltd. |
|---|---|
| Speciality | Internal Medicine |
| Location | 7605 Forest Ave, Richmond, Virginia |
| Authorized Official Name and Position | Milan Piersol Krickovic (PRESIDENT OF CORPORATION/PHYSICIAN) |
| Authorized Official Contact | 8042888313 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Milan P. Krickovic, M.D., Ltd. 7605 Forest Ave Suite 109 Richmond VA 23229-4938 Ph: (804) 288-8313 | Milan P. Krickovic, M.D., Ltd. 7605 Forest Ave Suite 109 Richmond VA 23229-4938 Ph: (804) 288-8313 |
| NPI Number | 1952632440 |
|---|---|
| Provider Enumeration Date | 01/22/2010 |
| Last Update Date | 01/22/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952632440 | NPI | - | NPPES |
| 0510927 | Other | VA | AETNA HMO |
| 6081070 | Medicaid | VA | |
| 4390080 | Other | VA | AETNA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | () | Secondary |
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