Provider Demographics
NPI:1366429367
Name:VOGT, MEGUMI M (MD)
Entity type:Individual
Prefix:DR
First Name:MEGUMI
Middle Name:M
Last Name:VOGT
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:220 FORT SANDERS WEST BLVD
Mailing Address - Street 2:STE 300
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37922
Mailing Address - Country:US
Mailing Address - Phone:865-693-3499
Mailing Address - Fax:
Practice Address - Street 1:220 FORT SANDERS WEST BLVD
Practice Address - Street 2:STE 300
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37922-3398
Practice Address - Country:US
Practice Address - Phone:865-693-3499
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2014-06-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN360982084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AK920153681OtherTAX ID #
AK920153681OtherTAX ID #