Kogan, Stanley J
Kogan, Stanley J is an individual health care provider with primary practice located at 2450 Riverside Ave , Minneapolis MN 55454-1450. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is his primary health care specialty. Kogan, Stanley J can be contacted via phone (612) 672-6000.Contact Information
Primary practice address
2450 Riverside Ave
Minneapolis MN 55454-1450
Phone: (612) 672-6000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 100362 | New York |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | ME135771 | Florida |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 20574 | New Hampshire |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 2014-00521 | North Carolina |
Profile Details
| NPI number | 1245261510 |
|---|---|
| LBN Legal business name | Kogan, Stanley J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 5th, 2006 |
| Last updated | Jun 21st, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245261510 | NPPES |
| New York | MEDICAID | 00172096 | |
| New York | MEDICAID | 024633300 |
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