MEDICARE: GURINDER DOAD MD PHD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	21721	AL

General Provider Information

NPI Number	:	1902092877
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GURINDER DOAD MD PHD

Provider Business Mailing Address
First Line	:	5462 TAMMY LITTLE DR
Second Line	:	PO BOX 320
City	:	SECTION
State	:	AL
Zip	:	35771-7208
Country	:	US
Telephone Number	:	256-228-4166
Fax Number	:	256-228-4186

Provider Business Practice Location Address
First Line	:	5462 TAMMY LITTLE DR
Second Line	:
City	:	SECTION
State	:	AL
Zip	:	35771-7208
Country	:	US
Telephone Number	:	256-228-4166
Fax Number	:	256-228-4186

Authorized Official
Title or Position	:	OWNER
Name	:	GURINDER DOAD
Credential	:	MD
Telephone Number	:	256-228-4166

Provider Enumeration Date	:	09/24/2007
Last Update Date	:	09/24/2007

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