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Dr. Kristi Amanda Bogan, MD
Student in an Organized Health Care Education/Training Program in St Petersburg, Florida
NPI 1871811141

Kristi Amanda Bogan is a Student in an Organized Health Care Education/Training Program based in Charlotte, FL. Kristi Amanda Bogan practices in St Petersburg, FL and has the professional credentials of MD. The NPI Number for Kristi Amanda Bogan is 1871811141 and holds a License No. ME141682 (Florida).

The current practice location address for Kristi Amanda Bogan is 501 6Th Ave S, St Petersburg, FL and can be reached out via phone at 727-767-4243.

Location: 501 6Th Ave S, St Petersburg, FL, 28203-7001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871811141
Provider Name
Kristi Amanda Bogan
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
501 6Th Ave S, St Petersburg, FL, 28203-7001
Phone Number
727-767-4243
Fax Number
Provider Enumeration Date
05/12/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
TP107 01 KY KENTUCKY MEDICAL LICENSE
institution
Provider Business Practice Location Address Details
Address
501 6Th Ave S
City
St Petersburg
State
Florida
Zip
33701-4634
Phone Number
727-767-4243
Fax Number
person
Provider Business Mailing Address Details
Address
501 6Th Ave S
City
St Petersburg
State
Florida
Zip
33701-4634
Phone Number
727-767-4243
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Pediatric Radiology
Taxonomy
2085P0229X
License No.
()
Definition
A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
TP107 (Kentucky)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
TP107 (Kentucky)
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
person
Provider's Taxonomy Details 4
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
ME141682 (Florida)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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