SERGE DJUKIC (NPI# 1992705230) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992705230 |
| Entity Type | Individual |
| Full Name | SERGE DJUKIC |
| Other Name | SRDJAN DJUKIC |
| Credential | MD |
| Practice Address |
2401 Orangeburg Ave, Ste 675 Pmb 246 Modesto CA 95355-3379 |
| Practice Telephone | 2092227342 |
| Mailing Telephone | 2092227342 |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2013-11-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
A51055 | CA | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
39389 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8270738 | 05 |
| Street Address |
2401 ORANGEBURG AVE, STE 675 PMB 246 |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-3379 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720270200 | Monica Martinez | Radiology | 1524 Mchenry Ave Ste 430, Modesto, CA 95350-4567 | 2007-08-17 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1730133893 | Modesto Advanced Diagnostic Imaging Medical Center | Radiology | 157 E Coolidge Ave, Modesto, CA 95350-4504 | 2006-05-20 |
| 1104231760 | Raymond Hung Md, Inc | Radiology | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2014-06-23 |
| 1285053108 | Jason Yu | Radiology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2014-04-08 |
| 1841617115 | Jasmine Camille Branchcomb | Radiology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2014-03-25 |
| 1780015685 | Richard Kendrick | Radiology | 1524 Mchenry Ave, Suite 235, Modesto, CA 95350-4500 | 2013-12-03 |
| 1912341710 | Norcal Radiologists Inc | Radiology | 1421 Oakdale Rd, Modesto, CA 95355-3356 | 2013-04-23 |
| 1306106125 | Dushyant Singh Thakur | Radiology | 600 Coffee Rd, Modesto, CA 95355-4201 | 2012-05-26 |
| 1427339134 | Damian Caci | Radiology | 1401 Spanos Ct Ste 111, Modesto, CA 95355-2812 | 2011-09-08 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.