Provider Demographics
NPI:1679514020
Name:VOGT, KAREN SUSAN (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUSAN
Last Name:VOGT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:KAREN
Other - Middle Name:SUSAN
Other - Last Name:PENKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8901 WISCONSIN AVE
Mailing Address - Street 2:
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20889-5630
Mailing Address - Country:US
Mailing Address - Phone:301-400-1725
Mailing Address - Fax:301-319-2420
Practice Address - Street 1:8901 WISCONSIN AVE
Practice Address - Street 2:BUILDING 19, 4TH FLOOR
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5630
Practice Address - Country:US
Practice Address - Phone:301-400-1725
Practice Address - Fax:301-319-2420
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2017-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.0795842080P0205X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0205XAllopathic & Osteopathic PhysiciansPediatricsPediatric Endocrinology