Provider Demographics
NPI:1679816235
Name:NOAZ, GOLAM DAUD (MD)
Entity Type:Individual
Prefix:DR
First Name:GOLAM
Middle Name:DAUD
Last Name:NOAZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 AVENUE F
Mailing Address - Street 2:
Mailing Address - City:BOGALUSA
Mailing Address - State:LA
Mailing Address - Zip Code:70427-3637
Mailing Address - Country:US
Mailing Address - Phone:985-545-7010
Mailing Address - Fax:
Practice Address - Street 1:617 AVENUE F
Practice Address - Street 2:
Practice Address - City:BOGALUSA
Practice Address - State:LA
Practice Address - Zip Code:70427-3637
Practice Address - Country:US
Practice Address - Phone:985-545-1070
Practice Address - Fax:985-545-1071
Is Sole Proprietor?:No
Enumeration Date:2013-04-02
Last Update Date:2021-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA303240207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine