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1063698686

NPI Code Detail

MEDICARE: DR. LEJLA HADZIKADIC GUSIC MD

MEDICARE: DR. LEJLA HADZIKADIC GUSIC MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208600000X	Surgery Physician	2013-00620	NC
2	2086X0206X	Surgical Oncology Physician	2013-00620	NC

General Provider Information

NPI Number	:	1063698686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LEJLA HADZIKADIC GUSIC MD

Provider Business Mailing Address
First Line	:	306 HILLSIDE AVE
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28209-2110
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1350 S KINGS DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28207-2134
Country	:	US
Telephone Number	:	704-446-1255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/14/2008
Last Update Date	:	05/31/2026

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Directions to “ DR. LEJLA HADZIKADIC GUSIC MD” Practice Location

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