Provider Demographics
NPI:1598767691
Name:CADOGAN, ROBERT F (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:F
Last Name:CADOGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5450 KNOLL NORTH DR STE 180
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-2366
Mailing Address - Country:US
Mailing Address - Phone:410-964-8500
Mailing Address - Fax:410-964-5315
Practice Address - Street 1:5450 KNOLL NORTH DR STE 250
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-2368
Practice Address - Country:US
Practice Address - Phone:410-964-6200
Practice Address - Fax:410-964-5315
Is Sole Proprietor?:No
Enumeration Date:2005-06-02
Last Update Date:2023-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200200872207Q00000X
MDD51318207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCE2517OtherROBERT CADOGAN'S MEDCOST
NC1310KOtherROBERT CADOGAN'S BCBS #
NC891310KMedicaid
NCE2517OtherROBERT CADOGAN'S MEDCOST
NC891310KMedicaid