Provider Demographics
NPI:1427316165
Name:GOLOD, GEORGE VADIMOVICH (MD)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:VADIMOVICH
Last Name:GOLOD
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 1:23923 CINCO RANCH BLVD
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77494-3399
Mailing Address - Country:US
Mailing Address - Phone:713-486-5300
Mailing Address - Fax:713-383-1451
Practice Address - Street 1:23923 CINCO RANCH BLVD
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77494-3399
Practice Address - Country:US
Practice Address - Phone:713-486-5300
Practice Address - Fax:713-383-1451
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-01
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXR2601207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine