Provider Demographics
NPI:1003859661
Name:DOAN, ALEXANDER D (MD)
Entity Type:Individual
Prefix:DR
First Name:ALEXANDER
Middle Name:D
Last Name:DOAN
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:105 N BASCOM AVE
Mailing Address - Street 2:103
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128-1811
Mailing Address - Country:US
Mailing Address - Phone:408-998-2890
Mailing Address - Fax:408-998-2897
Practice Address - Street 1:105 N BASCOM AVE
Practice Address - Street 2:#103
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-1811
Practice Address - Country:US
Practice Address - Phone:408-998-2890
Practice Address - Fax:408-998-2897
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-13
Last Update Date:2012-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA62476207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA770566538OtherTAX ID
CAH28586Medicare UPIN
CA00A624760Medicare ID - Type Unspecified