Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Max Logan Dougherty, MD, PHD

Individual provider Hematology (Internal Medicine) Physician · NPI 1164051637

Max Logan Dougherty, MD, PHD is a Hematology in New York, New York. Graduated from University of Washington School of Medicine in 2021, 5 years ago. Works from 2 locations. Licensed in New York.

Years since qualifying
5
Trained at
University of Washington School of Medicine
Licensed in
NY
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1470 Madison Ave
New York, NY 10029-6542
Phone: (212) 241-6756
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 17 E 102nd St, New York, NY 10029-5204 — (212) 659-8551

Specialties & licences

Hematology (Internal Medicine) Physician (primary) Taxonomy 207RH0000X · Licence 320619 (NY)

Record details

NPI number1164051637
Entity typeIndividual (Type 1)
GenderMale
Credentials MD , PHD
Sole proprietorNo
NPI enumeratedApril 6, 2020
Last updated in NPPESMay 21, 2026
Certification dateMay 21, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyHEMATOLOGY
Also practisesMEDICAL ONCOLOGY
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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