Samuel Kogan, MD/PhD
Plastic Surgery in Mooresville, NC. Individual provider (NPI-1).
NPI number1679100697
StatusActive
Last updated in NPPESAug 5, 2026
Details
- NPI
- 1679100697
- Entity type
- Individual (NPI-1)
- Name
- Samuel Kogan
- Credential
- MD/PhD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 27, 2020
- Certification date
- Aug 5, 2026
- Last updated
- Aug 5, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208200000X | Plastic Surgery | 2026-01745 | NC | Yes |
| 2086S0122X | Surgery, Plastic and Reconstructive Surgery | 2026-01745 | NC |
Practice location
170 Medical Park Rd Ste 210Mooresville, NC 28117-8583
Phone 704-663-0006
Mailing address
170 Medical Park Rd Ste 210Mooresville, NC 28117-8583
Phone 704-663-0006
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