# SLOBODAN JAZAREVIC

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1982641494
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 192322 | NY | — |
| 208600000X | Surgery Physician | 192322-1 | NY | — |
| 208600000X | Surgery Physician | DR0052407 | CO | — |
| 208600000X | Surgery Physician | ME65570 | FL | — |
| 2086S0102X | Surgical Critical Care Physician | 192322-1 | NY | — |
| 2086S0102X | Surgical Critical Care Physician | DR00552407 | CO | — |
| 2086S0102X | Surgical Critical Care Physician | ME65570 | FL | — |
| 2086S0120X | Pediatric Surgery Physician | 192322 | NY | — |
| 2086S0127X | Trauma Surgery Physician | 192322 | NY | — |
| 2086S0127X | Trauma Surgery Physician | 192322-1 | NY | — |
| 2086S0127X | Trauma Surgery Physician | DR0052407 | CO | Yes |
| 2086S0127X | Trauma Surgery Physician | ME65570 | FL | — |
| 2086S0129X | Vascular Surgery Physician | 192322-1 | NY | — |
| 2086S0129X | Vascular Surgery Physician | DR0052407 | CO | — |
| 2086S0129X | Vascular Surgery Physician | ME65570 | FL | — |

## Other

- **Enumeration date:** 06/01/2006
- **Last updated:** 03/08/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 014768800 | — | FL |
| 01 | — | 03487616 | GROUP MEDICAID | NY |
| 05 | — | 277835100 | — | FL |