| Evon Cadogan Md Inc | |
|
2242 Camden Ave Ste 203 San Jose CA 95124-2029 | |
| (888) 801-2012 | |
| (408) 762-5948 |
| Full Name | Evon Cadogan Md Inc |
|---|---|
| Speciality | General Practice |
| Location | 2242 Camden Ave Ste 203, San Jose, California |
| Authorized Official Name and Position | Eugene Gu (MANAGER) |
| Authorized Official Contact | 8888012012 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evon Cadogan Md Inc 920 N 1st St Renton WA 98057-5759 Ph: (888) 801-2012 | Evon Cadogan Md Inc 2242 Camden Ave Ste 203 San Jose CA 95124-2029 Ph: (888) 801-2012 |
| NPI Number | 1174194278 |
|---|---|
| Provider Enumeration Date | 07/08/2021 |
| Last Update Date | 05/23/2022 |
| Medicare PECOS PAC ID | 7517360597 |
|---|---|
| Medicare Enrollment ID | O20210728002710 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174194278 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Evon S Cadogan |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1538180567 PECOS PAC ID: 2567364367 Enrollment ID: I20050127000243 |
| Provider Name | Jessica Zhang |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1437513447 PECOS PAC ID: 8628368305 Enrollment ID: I20210914001285 |
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