Individual
ALAN OTTO KOGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
610 E DIAMOND AVE, SUITE 100A, GAITHERSBURG, MD 20877-5321
(301) 840-3200
(301) 840-1348
Mailing address
610 E DIAMOND AVE, SUITE 100A, GAITHERSBURG, MD 20877-5321
(301) 840-3200
(301) 840-1348
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
4301028081
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
816700100
—
MD
Enumeration date
12/28/2006
Last updated
05/22/2012
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