Pantelic, Milan V.

Pantelic, Milan V. is an individual health care provider with primary practice located at Henry Ford Health System 2799 West Grand Boulevard, Detroit MI 48202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Nuclear Radiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Pantelic, Milan V. can be contacted via phone (313) 916-2436.

Contact Information

Primary practice address
Henry Ford Health System 2799 West Grand Boulevard Detroit MI 48202
Phone: (313) 916-2436
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nuclear Radiology 2085N0904X 4301052765 Michigan
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 4301052765 Michigan

Profile Details

NPI number 1013085752
LBN Legal business name Pantelic, Milan V.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2006
Last updated Mar 13th, 2020 - about 5 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 1013085752 NPPES
Other 700H262300 BLUE CROSS-BLUE CROSS
MEDICAID 283987710 BLUE CROSS-BLUE CROSS
Other MP052765 BLUE CROSS-BLUE CROSS
Other MP052765 BLUE CROSS-BLUE CROSS

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