Provider Demographics
NPI:1780577759
Name:OGEN, ELVIS ANGAH
Entity type:Individual
Prefix:MR
First Name:ELVIS
Middle Name:ANGAH
Last Name:OGEN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:239 OAK MANOR PL
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15235-2644
Mailing Address - Country:US
Mailing Address - Phone:412-540-6832
Mailing Address - Fax:
Practice Address - Street 1:239 OAK MANOR PL
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15235-2644
Practice Address - Country:US
Practice Address - Phone:412-540-6832
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA83073601374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide