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NPI Code Detail

MEDICARE: DINA KOGAN MD

MEDICARE: DINA KOGAN 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
1207L00000XAnesthesiology Physician036109386IL
2207L00000XAnesthesiology Physician23795NE

General Provider Information

NPI Number : 1154311785
Entity Type Code : Individual
Provider Name (Legal Business Name) : DINA KOGAN MD
Provider Business Mailing Address
First Line : 16165 BEDFORD AVE
Second Line :
City : OMAHA
State : NE
Zip : 68116-6434
Country : US
Telephone Number : 402-763-8950
Fax Number :
Provider Business Practice Location Address
First Line : 555 N 30TH ST
Second Line :
City : OMAHA
State : NE
Zip : 68131-2136
Country : US
Telephone Number : 402-498-6509
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2005
Last Update Date : 07/09/2007

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Directions to “ DINA KOGAN MD” Practice Location

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