Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DESIMIR MIJATOVIC, MD
Active Sole ProprietorDESIMIR MIJATOVIC, MD is a 2084P2900X healthcare provider located in CLEVELAND, Ohio. NPI 1679935829 is currently active in the NPPES registry. Verify at CMS.
2084P2900X · CLEVELAND, OH
Registration Details
- NPI Number
- 1679935829
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 27, 2016 (10.430706870975 yrs)
- Last Updated
- Jun 17, 2022
- Licenses
-
35.135287 (OH)35.135287 (OH)35.135287 (OH)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9500 EUCLID AVECLEVELAND, OH, 441950001Browse OH providers · Browse ZIP 44195
- Phone
- 2164442200
- Primary Specialty
-
2084P2900X
2084P2900X
- Additional Specialty
- 2084P2900X
- Additional Specialty
- Psychiatry
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.