Djurasovic, Mladen

Djurasovic, Mladen is an individual health care provider with primary practice located at 210 E Gray St Suite 900, Louisville KY 40202-3900. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Djurasovic, Mladen can be contacted via phone (502) 584-7525.

Contact Information

Primary practice address
210 E Gray St Suite 900 Louisville KY 40202-3900
Fax: (502) 584-6851
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 36490 Kentucky

Profile Details

NPI number 1609839257
LBN Legal business name Djurasovic, Mladen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Jan 12th, 2021 - about 3 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 1609839257 NPPES
Indiana MEDICAID 200327760
Indiana Other 36123
Indiana Other 000000212609
Indiana Other 00533159
Indiana Other 2481222
Indiana Other N302052
Indiana Other P00757244
Indiana Other 2438480000
Indiana Other 2438491000
Indiana Other 3728036000
Indiana Other 000000212608
Indiana MEDICAID 64036908
Indiana Other 1148797
Indiana Other 1149201
Indiana Other 163722400
Indiana Other P00071772
Indiana Other 000028412Y
Indiana Other 0942470001
Indiana Other 50024960
Indiana Other 000000628570
Indiana Other 017207

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