Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Edward Milan Prodanovic, MD

Individual provider Internal Medicine Physician · NPI 1306067640

Dr. Edward Milan Prodanovic, MD is a Dermatology in Saint Louis, Missouri. Qualified in 2002, 24 years ago. Practices with Washington University, a 2,986-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
24
Licensed in
MO
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

4901 Forest Park Ave Div Im Dermatology Ste 502
Saint Louis, MO 63108-1495
Phone: (314) 747-8688
Fax: (888) 665-8309
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2025004026 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 2025004026 (MO)

Record details

NPI number1306067640
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 2, 2007
Last updated in NPPESJuly 16, 2025
Certification dateApril 23, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Washington University — 2986 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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