Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111NN0400X | Neurology | 00016 | TX |
N | 111NN0400X | Neurology | CH 8555 | FL |
Y | 363LF0000X | Nurse Practitioner - Family Medicine | ARNP 9326379 | FL |
NPI | 1861440034 |
---|---|
Provider Name | Dr. Natalia Kogan |
First Address | North Miami Beach, FL 33162-3712 |
Second Address | North Miami Beach, FL 33162-3712 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 02/12/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
15117 | HUMANA (01) | FL |
302784 | AVMED (01) | FL |
331208 | WELLCARE (01) | FL |
89754 | BC BS (01) | FL |
U78423 | (02) | FL |