Organization
MILAN P. KRICKOVIC, M.D., LTD.
Active
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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