Provider Demographics
NPI:1497972913
Name:DOGAN, JOHN IBRAHIM (MD)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:IBRAHIM
Last Name:DOGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:IBRAHIM
Other - Middle Name:HALIL
Other - Last Name:DOGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:13221 DOTSON RD
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77070-4303
Mailing Address - Country:US
Mailing Address - Phone:281-477-9333
Mailing Address - Fax:281-477-9341
Practice Address - Street 1:13221 DOTSON RD
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77070-4303
Practice Address - Country:US
Practice Address - Phone:281-477-9333
Practice Address - Fax:281-477-9341
Is Sole Proprietor?:No
Enumeration Date:2007-04-19
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM8633207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8BA420OtherBCBS
TX193937301Medicaid
TX8F7874Medicare PIN