Provider Demographics
NPI:1619761475
Name:HOGAN, DOUGLAS HUGUENIN (MD)
Entity type:Individual
Prefix:
First Name:DOUGLAS
Middle Name:HUGUENIN
Last Name:HOGAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 S 11TH ST APT 3129
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-0024
Mailing Address - Country:US
Mailing Address - Phone:434-208-0063
Mailing Address - Fax:
Practice Address - Street 1:1808 7TH AVE S # BDB652
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-1912
Practice Address - Country:US
Practice Address - Phone:205-934-2006
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program