MEDICARE: JOHN IBRAHIM DOGAN 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
1	207V00000X	Obstetrics & Gynecology Physician	M8633	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8BA420	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1497972913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN IBRAHIM DOGAN M.D.

Provider Business Mailing Address
First Line	:	13221 DOTSON RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4303
Country	:	US
Telephone Number	:	281-477-9333
Fax Number	:	281-477-9341

Provider Business Practice Location Address
First Line	:	13221 DOTSON RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77070-4303
Country	:	US
Telephone Number	:	281-477-9333
Fax Number	:	281-477-9341

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

Provider Enumeration Date	:	04/19/2007
Last Update Date	:	08/17/2022

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