Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0201X | Gynecologic Oncologist | 28408 | KY |
NPI | 1407813025 |
---|---|
Provider Name | Dr. David L Doering |
First Address | Louisville, KY 40202-1703 |
Second Address | Louisville, KY 40207-4700 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 12/01/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000074658 | ANTHEM PROVIDER NUMB (01) | KY |
000020583F | HUMANA PROVIDER NUMB (01) | KY |
100332410 | (05) | IN |
1112294 | PASSPORT PROVIDER NUMB (01) | KY |
160048070 | RAILROAD MEDICARE (01) | KY |
2633890 | CIGNA PROVIDER NUMB (01) | KY |
4139290 | AETNA PROVIDER NUMBER (01) | KY |
64284086 | (05) | KY |
E91512 | UPIN PROVIDER NUMB (01) | KY |