Provider Demographics
NPI:1194769943
Name:GIROD, DOUGLAS A (MD)
Entity type:Individual
Prefix:DR
First Name:DOUGLAS
Middle Name:A
Last Name:GIROD
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:PO BOX 411851
Mailing Address - Street 2:KANSAS UNIVERSITY PHYSICIANS INC
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64141-1851
Mailing Address - Country:US
Mailing Address - Phone:913-588-6701
Mailing Address - Fax:913-588-6708
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 3010
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66160-0001
Practice Address - Country:US
Practice Address - Phone:913-588-6701
Practice Address - Fax:913-588-6708
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2015-04-29
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Provider Licenses
StateLicense IDTaxonomies
KS04-25104207YX0007X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YX0007XAllopathic & Osteopathic PhysiciansOtolaryngologyPlastic Surgery within the Head & Neck
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS3005097AMedicare ID - Type Unspecified
KSF79637Medicare UPIN