| Doctor Name: | DR. PREDRAG M GAGIC |
| NPI Number: | 1811983877 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D. |
| License Number: | 05101R |
| Business Practice Address: | 313 Center St Marksville, LA - 713512841 |
| Business Phone Number: | 3182538655 |
| Business Fax Number: | 3182539737 |
| Mailing Address: | 313 Center St, MARKSVILLE |
| State: | LA |
| Postal Code: | 713512841 |
| Phone Number: | 3182538655 |
| Fax Number: | 3182539737 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 12/13/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | 03/24/2006 |
| NPI Reactivation Date: | 04/04/2006 |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | 05101R |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |