Provider Demographics
NPI:1841392131
Name:DOGAN, OZGEN (MD)
Entity type:Individual
Prefix:
First Name:OZGEN
Middle Name:
Last Name:DOGAN
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 1:50 COURT ST FL 12
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11201-4867
Mailing Address - Country:US
Mailing Address - Phone:718-222-1235
Mailing Address - Fax:718-722-7868
Practice Address - Street 1:50 COURT ST FL 12
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11201-4867
Practice Address - Country:US
Practice Address - Phone:718-222-1235
Practice Address - Fax:718-722-7868
Is Sole Proprietor?:No
Enumeration Date:2006-09-05
Last Update Date:2023-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY209311207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01828284Medicaid
NY01828284Medicaid
G63542Medicare UPIN