# EVON CADOGAN MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174194278
- **Authorized official:** EUGENE GU MD (MANAGER)
- **Authorized official phone:** (888) 801-2012

## Contact information

- **Practice address:** 2242 CAMDEN AVE STE 203, SAN JOSE, CA 95124-2029
- **Practice address phone:** (888) 801-2012
- **Practice address fax:** (408) 762-5948
- **Mailing address:** 920 N 1ST ST, RENTON, WA 98057-5759
- **Mailing address phone:** (888) 801-2012
- **Mailing address fax:** (408) 762-5948

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2021
- **Last updated:** 05/23/2022