Djukic, Serge

Djukic, Serge is an individual health care provider with primary practice located at 2401 Orangeburg Ave, Ste 675 Pmb 246, Modesto CA 95355-3379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Djukic, Serge can be contacted via phone (209) 222-7342.

Contact Information

Primary practice address
2401 Orangeburg Ave, Ste 675 Pmb 246 Modesto CA 95355-3379
Phone: (209) 222-7342
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 39389 Washington
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A51055 California

Profile Details

NPI number 1992705230
LBN Legal business name Djukic, Serge
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 28th, 2005
Last updated Nov 15th, 2013 - about 11 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1992705230 NPPES
Washington MEDICAID 8270738

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