Individual
ILANA KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1214 SPRING ST, SUITE 2, JEFFERSONVILLE, IN 47130-3704
(812) 283-5950
(812) 285-5439
Mailing address
1214 SPRING ST, SUITE 2, JEFFERSONVILLE, IN 47130-3704
(812) 283-5950
(812) 285-5439
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01076506A
IN
2085R0202X
Diagnostic Radiology Physician
49005
KY
Other
Enumeration date
04/08/2009
Last updated
07/08/2016
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