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DR. MILENA IVANOVA M.D. NPI 1174724264


NPI Information

NPI: 1174724264
Provider Name: DR. MILENA IVANOVA, M.D.
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

Organization: LOYOLA UNIVERSITY MEDICAL CENTER

PECOS Registration: Yes

Address:
9200 W WISCONSIN AVE
DEPT OF RADIOLOGY
MILWAUKEE, WI
ZIP 53226
Phone: (414) 805-3750
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DR. Milena Ivanova, M.D. is a diagnostic radiology radiology in Milwaukee, WI with 18 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Milena Ivanova, M.D. NPI is 1174724264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Graduation Year:2006

The provider's business location address is:

9200 W WISCONSIN AVE
DEPT OF RADIOLOGY
MILWAUKEE, WI
ZIP 53226-522
Phone: (414) 805-3750
Fax: (414) 259-9290

The NPI 1174724264 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 9/27/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyD74734MARYLANDNo
22085R0202XRadiologyDiagnostic Radiology257386MASSACHUSETTSNo
32085R0202XRadiologyDiagnostic Radiology66154WISCONSINYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1058302200MEDICAIDMARYLAND
21174724264MEDICAIDWISCONSIN
3246709YSJMEDICARE PINMARYLAND

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.