Provider Demographics
NPI:1336302207
Name:HOGAN, DANIKA A (MD)
Entity Type:Individual
Prefix:DR
First Name:DANIKA
Middle Name:A
Last Name:HOGAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DANIKA
Other - Middle Name:ADRIA
Other - Last Name:HOGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:230 N BROAD ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1121
Mailing Address - Country:US
Mailing Address - Phone:215-762-1808
Mailing Address - Fax:215-762-4721
Practice Address - Street 1:230 N BROAD ST
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1121
Practice Address - Country:US
Practice Address - Phone:215-762-1808
Practice Address - Fax:215-762-4721
Is Sole Proprietor?:No
Enumeration Date:2008-07-09
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4477302085R0202X
DCRESIDENT PHYSICIAN207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine