Kogan, Alan Otto

Kogan, Alan Otto is an individual health care provider with primary practice located at 610 E Diamond Ave Suite 100A, Gaithersburg MD 20877-5321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Kogan, Alan Otto can be contacted via phone (301) 840-3200.

Contact Information

Primary practice address
610 E Diamond Ave Suite 100A Gaithersburg MD 20877-5321
Phone: (301) 840-3200
Fax: (301) 840-1348
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 4301028081 Michigan

Profile Details

NPI number 1659437671
LBN Legal business name Kogan, Alan Otto
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated May 22nd, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659437671 NPPES
Maryland MEDICAID 816700100

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