Durdevic, Momcilo
Durdevic, Momcilo is an individual health care provider with primary practice located at 1200 J D Anderson Dr , Morgantown WV 26505-3494. He recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Durdevic, Momcilo can be contacted via phone (304) 598-1200.Contact Information
Primary practice address
1200 J D Anderson Dr
Morgantown WV 26505-3494
Phone: (304) 598-1200
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 72989 | Wisconsin |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 33555 | West Virginia |
Profile Details
| NPI number | 1881114254 |
|---|---|
| LBN Legal business name | Durdevic, Momcilo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 26th, 2017 |
| Last updated | Dec 2nd, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881114254 | NPPES |
| Wisconsin | MEDICAID | 100099719 |
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