Basic Information
| Provider Information | |||||||||
| NPI: | 1932637568 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUJMOVIC BASUROSKI | ||||||||
| FirstName: | IRENA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
| OtherOrganizationName: | |||||||||
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| OtherLastName: | DUJMOVIC | ||||||||
| OtherFirstName: | IRENA | ||||||||
| OtherMiddleName: | |||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | M.D. | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 194 FINLEY GOLF COURSE ROAD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27517 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9849742267 | ||||||||
| FaxNumber: | 9199662922 | ||||||||
| Practice Location | |||||||||
| Address1: | 194 FINLEY GOLF COURSE ROAD | ||||||||
| Address2: | SUITE 200 | ||||||||
| City: | CHAPEL HILL | ||||||||
| State: | NC | ||||||||
| PostalCode: | 27517 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9849742267 | ||||||||
| FaxNumber: | 9199662922 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/26/2017 | ||||||||
| LastUpdateDate: | 12/28/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084N0400X | 2017-00131 | NC | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Neurology |
No ID Information.