MEDICARE: GARLAND SEAWRIGHT DODOO M.D.

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	207R00000X	Internal Medicine Physician	A94748	CA

General Provider Information

NPI Number	:	1043262421
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GARLAND SEAWRIGHT DODOO M.D.

Provider Business Mailing Address
First Line	:	65 NORTH MADISON AVENUE
Second Line	:	SUITE 200
City	:	PASADENA
State	:	CA
Zip	:	91101-2051
Country	:	US
Telephone Number	:	626-792-4185
Fax Number	:	626-792-7358

Provider Business Practice Location Address
First Line	:	65 NORTH MADISON AVENUE
Second Line	:	SUITE 200
City	:	PASADENA
State	:	CA
Zip	:	91101-2051
Country	:	US
Telephone Number	:	626-792-4185
Fax Number	:	626-792-7358

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	07/08/2007

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