Individual
JAKICA TANCABELIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1414 SW 8TH AVE, TOPEKA, KS 66606-1535
(785) 354-5300
(785) 354-5309
Mailing address
1414 SW 8TH AVE, TOPEKA, KS 66606-1535
(785) 354-5300
(785) 354-5309
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
01061837A
IN
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
04-32504
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200425220B
—
KS
01
—
KA2129019
MEDICARE PTAN
KS
Enumeration date
01/19/2007
Last updated
06/12/2014
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