Individual
PHILIP G KOGOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1101 MEDICAL CENTER BLVD, RADIOLOGY DEPT, MARRERO, LA 70072-3147
(504) 349-1461
(504) 349-1470
Mailing address
1111 MEDICAL CENTER BLVD, SUITE N-108, MARRERO, LA 70072-3151
(504) 349-1461
(504) 349-1470
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
TL28763
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03930313
—
MS
05
—
1197378
—
LA
05
—
287638
—
SC
Enumeration date
07/02/2006
Last updated
10/09/2008
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