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Contact Information

PREDRAG M LATKOVICH, MD
300 MAIN ST
LEWISTON, ME04240
 Phone: 207-795-2330
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for PREDRAG M LATKOVICH · (Male)

NPI Number 1356313845
Status Active
Credentials MD
Entity Individual
Enumeration date 02/07/2006
Last updated 03/17/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • ME License # 018040
  • MT License # 10349
  • ME Medicaid 433587899
  • MT Medicaid 0061251
  • Other 000094035 BLUE CROSS BLUE SHIELD
  • Other P00010468 MEDICARE RAILROAD
Hospital affiliation(s)
  • TRIDENT MEDICAL CENTER - (Acute Care)
    9330 MEDICAL PLAZA DR
    CHARLESTON, SC 29406
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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