Gagic, Predrag M
Gagic, Predrag M is an individual health care provider with primary practice located at 313 Center St , Marksville LA 71351-2841. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Gagic, Predrag M can be contacted via phone (318) 253-8655.Contact Information
Primary practice address
313 Center St
Marksville LA 71351-2841
Phone: (318) 253-8655
Fax: (318) 253-9737
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 05101R | Louisiana |
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | 05101R | Louisiana |
Profile Details
| NPI number | 1811983877 |
|---|---|
| LBN Legal business name | Gagic, Predrag M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2005 |
| Last updated | Oct 17th, 2018 - about 8 years ago |
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 | 1811983877 | NPPES |
| Louisiana | Other | 19D0464907 | CLIA |
| Louisiana | MEDICAID | 1304841 | CLIA |
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