Individual
DR. VICTORIA KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5409 AVENUE O, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188
Mailing address
5409 AVENUE O, PO BOX 1470, FORT MADISON, IA 52627-9601
(319) 376-2134
(319) 376-2188
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
254723
NY
207R00000X
Internal Medicine Physician
ME118206
FL
208M00000X
Hospitalist Physician
Primary
ME118206
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
116073200
—
FL
05
—
1730412412
—
IA
01
—
511790005
WELLMARK/ BLUE CROSS/ BLUE SHIELD
IA
01
—
V5472
HFMG
FL
Enumeration date
09/11/2009
Last updated
09/19/2025
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