Provider Demographics
NPI:1912369976
Name:SOSIC, DRAZEN
Entity Type:Individual
Prefix:
First Name:DRAZEN
Middle Name:
Last Name:SOSIC
Suffix:
Gender:M
Credentials:
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 2668
Mailing Address - Street 2:HOSPITALISTS
Mailing Address - City:HAMMOND
Mailing Address - State:LA
Mailing Address - Zip Code:70404-2668
Mailing Address - Country:US
Mailing Address - Phone:985-345-2700
Mailing Address - Fax:985-230-2078
Practice Address - Street 1:15790 PAUL VEGA MD DRIVE
Practice Address - Street 2:HOSPITALISTS
Practice Address - City:HAMMOND
Practice Address - State:LA
Practice Address - Zip Code:70403
Practice Address - Country:US
Practice Address - Phone:985-345-2700
Practice Address - Fax:985-230-2087
Is Sole Proprietor?:No
Enumeration Date:2016-03-28
Last Update Date:2020-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA311737207Q00000X, 208M00000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program