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EVON CADOGAN MD INC NPI 1174194278


NPI Information

NPI: 1174194278
Provider Name: EVON CADOGAN MD INC
Classification: General Practice - 208D00000X
Entity Type: Organization
Address:
2242 CAMDEN AVE STE 203
SAN JOSE, CA
ZIP 95124
Phone: (888) 801-2012
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EVON CADOGAN MD INC is a general practice in San Jose, CA. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee EVON CADOGAN MD INC NPI is 1174194278. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2242 CAMDEN AVE STE 203
SAN JOSE, CA
ZIP 95124-029
Phone: (888) 801-2012
Fax: (408) 762-5948

The provider's authorized official is Eugene Gu .
The authorized official title is Manager and has the following contact phone number (888) 801-2012.

The enumeration date for this NPI number is 7/8/2021 and was last updated on 5/23/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1208D00000XGeneral PracticeYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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