Provider Demographics
NPI:1245489244
Name:DOGAN-BAG, VAHIDE M (MD)
Entity type:Individual
Prefix:DR
First Name:VAHIDE
Middle Name:M
Last Name:DOGAN-BAG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:VAHIDE
Other - Middle Name:M
Other - Last Name:MERIC
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1220 UNIVERSITY BLVD N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32211-8852
Mailing Address - Country:US
Mailing Address - Phone:904-490-8700
Mailing Address - Fax:904-490-9810
Practice Address - Street 1:1220 UNIVERSITY BLVD N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32211-8852
Practice Address - Country:US
Practice Address - Phone:904-490-8700
Practice Address - Fax:904-490-9810
Is Sole Proprietor?:No
Enumeration Date:2008-09-15
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME160031207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine