Provider Demographics
NPI:1013940212
Name:DAMJANOVIC, DUSAN (MD)
Entity type:Individual
Prefix:DR
First Name:DUSAN
Middle Name:
Last Name:DAMJANOVIC
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 844658
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75284-4658
Mailing Address - Country:US
Mailing Address - Phone:800-994-0371
Mailing Address - Fax:254-215-9722
Practice Address - Street 1:810 W HIGHWAY 71
Practice Address - Street 2:
Practice Address - City:MARBLE FALLS
Practice Address - State:TX
Practice Address - Zip Code:78654-8602
Practice Address - Country:US
Practice Address - Phone:830-201-8000
Practice Address - Fax:830-201-8008
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2025-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD428689207L00000X
WI101952207L00000X
OH35.145993207L00000X
TXT8104207L00000X
FLME146198207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA103168OtherGEISINGER-GH
PA1872495OtherHIGHMARK BLUE SHIELD-GH
PA2732264000OtherAMERIHEALTH 65 PA-GH
PA50067113OtherCAPITAL BLUE CROSS-GH
PA101661202Medicaid
PA1554147OtherGATEWAY-GH
PA20054402OtherAMERIHEALTH MERCY-GH
PA103168OtherGEISINGER-GH
I56198Medicare UPIN