DR. DRAGOSLAV GVOZDJAN M.D. NPI 1003006701

Psychiatry & Neurology (Psychiatry) in Lafayette, IN

About DRAGOSLAV GVOZDJAN

Dragoslav Gvozdjan is a provider in Lafayette, IN. The NPI number assigned to this provider is 1003006701. The practitioner's primary taxonomy code is Psychiatry & Neurology (2084P0800X). The provider is registered as an individual and their NPI record was last updated 4 years ago. Dragoslav Gvozdjan is registered with Medicare.

NPI1003006701 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider NameDR. DRAGOSLAV GVOZDJAN M.D.
Provider Location Address415 N 26TH ST STE 103 LAFAYETTE, IN 47904 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address10S641 S GARFIELD AVE BURR RIDGE, IL 60527 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderMale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?No
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date07-28-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date07-30-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

DR. DRAGOSLAV GVOZDJAN M.D.
415 N 26TH ST STE 103
LAFAYETTE, IN
ZIP 47904
Phone: (765) 446-6400
Get Directions

Mailing Address

DR. DRAGOSLAV GVOZDJAN M.D.
10S641 S GARFIELD AVE
BURR RIDGE, IL
ZIP 60527
Phone: (703) 415-6502

Primary Taxonomy

Taxonomy Code2084P0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationPsychiatry & Neurology
TypeAllopathic & Osteopathic Physicians
SpecializationPsychiatry
License No.01069714A
License StateIN
Taxonomy DescriptionA Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Map Location


DR. DRAGOSLAV GVOZDJAN M.D. address is 415 N 26TH ST STE 103 LAFAYETTE, IN 47904

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1912367590 PAMELA MCCOMBS-MATLOCK PSYD
Individual
Psychologist (Clinical)415 N 26TH ST STE 103
LAFAYETTE, IN 47904
(765) 446-6400