Organization
MILAN P. KRICKOVIC, M.D., LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAN PIERSOL KRICKOVIC M.D. (PRESIDENT OF CORPORATION/PHYSICIAN)
(804) 288-8313
Entity
Organization
Contact information
Practice address
7605 FOREST AVE, SUITE 109, RICHMOND, VA 23229-4938
(804) 288-8313
(804) 287-4365
Mailing address
7605 FOREST AVE, SUITE 109, RICHMOND, VA 23229-4938
(804) 288-8313
(804) 287-4365
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0510927
AETNA HMO
VA
01
—
4390080
AETNA
VA
05
—
6081070
—
VA
Enumeration date
01/22/2010
Last updated
01/22/2010
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