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NPI Code Detail

MEDICARE: DUARD WINFIELD ENOCH MD

MEDICARE: DUARD WINFIELD ENOCH MD
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
12085R0202XDiagnostic Radiology PhysicianG85825CA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2300127942OTHERRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1306838131
Entity Type Code : Individual
Provider Name (Legal Business Name) : DUARD WINFIELD ENOCH MD
Provider Business Mailing Address
First Line : PO BOX 7462
Second Line :
City : ORANGE
State : CA
Zip : 92863-7462
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 747 52ND ST
Second Line :
City : OAKLAND
State : CA
Zip : 94609-1809
Country : US
Telephone Number : 510-428-3000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2005
Last Update Date : 06/10/2025

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Directions to “ DUARD WINFIELD ENOCH MD” Practice Location

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