Provider Demographics
NPI:1023357688
Name:DOGAN, NESRIN (PHD)
Entity Type:Individual
Prefix:
First Name:NESRIN
Middle Name:
Last Name:DOGAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:NESRIN
Other - Middle Name:
Other - Last Name:DOGAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1331 BRICKELL BAY DR APT 3501
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33131-3685
Mailing Address - Country:US
Mailing Address - Phone:786-266-4265
Mailing Address - Fax:
Practice Address - Street 1:1475 NW 12TH AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33136-1002
Practice Address - Country:US
Practice Address - Phone:305-243-8629
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLTRP4092471R0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471R0002XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistRadiation Therapy