Individual
OLGA L BOGDANOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
820 GOODYEAR AVE, GADSDEN, AL 35903-1146
(256) 492-3571
(256) 494-5028
Mailing address
820 GOODYEAR AVE, GADSDEN, AL 35903-1146
(256) 492-3571
(256) 438-5069
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
00027492
AL
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
27492
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009938953
—
AL
01
—
051558172
MEDICARE
AL
01
—
51537462
BC/BS OF ALABAMA
AL
Enumeration date
11/06/2006
Last updated
09/19/2023
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