Roganovic, Mira
Roganovic, Mira is an individual health care provider with primary practice located at 8220 Wymark Drive Suite 200, Elk Grove CA 95757-0000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Roganovic, Mira can be contacted via phone (916) 667-0600.Contact Information
Primary practice address
8220 Wymark Drive Suite 200
Elk Grove CA 95757-0000
Phone: (916) 667-0600
Fax: (916) 683-0232
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 001720 | New York |
Profile Details
| NPI number | 1033154448 |
|---|---|
| LBN Legal business name | Roganovic, Mira |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 19th, 2006 |
| Last updated | Oct 17th, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033154448 | NPPES |
| New York | MEDICAID | 02353464 |
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