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NPI Code Detail

MEDICARE: DR. VAHIDE M DOGAN-BAG M.D.

MEDICARE: DR. VAHIDE M DOGAN-BAG M.D.
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
1207Q00000XFamily Medicine PhysicianME160031FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1245489244
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VAHIDE M DOGAN-BAG M.D.
Provider Business Mailing Address
First Line : 1220 UNIVERSITY BLVD N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-8852
Country : US
Telephone Number : 904-490-8700
Fax Number : 904-490-9810
Provider Business Practice Location Address
First Line : 1220 UNIVERSITY BLVD N
Second Line :
City : JACKSONVILLE
State : FL
Zip : 32211-8852
Country : US
Telephone Number : 904-490-8700
Fax Number : 904-490-9810
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/15/2008
Last Update Date : 01/19/2023

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