Provider Demographics
NPI:1134117591
Name:DOAD, GURINDER J (MD,PHD)
Entity Type:Individual
Prefix:DR
First Name:GURINDER
Middle Name:J
Last Name:DOAD
Suffix:
Gender:M
Credentials:MD,PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 320
Mailing Address - Street 2:
Mailing Address - City:SECTION
Mailing Address - State:AL
Mailing Address - Zip Code:35771-0320
Mailing Address - Country:US
Mailing Address - Phone:256-228-4166
Mailing Address - Fax:256-228-4186
Practice Address - Street 1:5462 TAMMY LITTLE DR
Practice Address - Street 2:
Practice Address - City:SECTION
Practice Address - State:AL
Practice Address - Zip Code:35771-7208
Practice Address - Country:US
Practice Address - Phone:256-228-4166
Practice Address - Fax:256-228-4186
Is Sole Proprietor?:No
Enumeration Date:2005-10-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21721207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALG83940Medicare UPIN