Provider Demographics
NPI:1073231221
Name:HOGAN, EKEMINI (MD)
Entity Type:Individual
Prefix:
First Name:EKEMINI
Middle Name:
Last Name:HOGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EKEMINI
Other - Middle Name:
Other - Last Name:ISONGUYO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:188 HOSPITAL DR STE 402
Mailing Address - Street 2:
Mailing Address - City:FAIRHOPE
Mailing Address - State:AL
Mailing Address - Zip Code:36532-2018
Mailing Address - Country:US
Mailing Address - Phone:251-279-1529
Mailing Address - Fax:251-279-1457
Practice Address - Street 1:188 HOSPITAL DR STE 402
Practice Address - Street 2:
Practice Address - City:FAIRHOPE
Practice Address - State:AL
Practice Address - Zip Code:36532-2018
Practice Address - Country:US
Practice Address - Phone:251-279-1529
Practice Address - Fax:251-279-1457
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Provider Identifiers
StateIdentifier IDID TypeIssuer
000000000OtherNA