Provider Demographics
NPI:1043262421
Name:DODOO, GARLAND SEAWRIGHT (MD)
Entity type:Individual
Prefix:
First Name:GARLAND
Middle Name:SEAWRIGHT
Last Name:DODOO
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 1:65 NORTH MADISON AVENUE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2051
Mailing Address - Country:US
Mailing Address - Phone:626-792-4185
Mailing Address - Fax:626-792-7358
Practice Address - Street 1:65 NORTH MADISON AVENUE
Practice Address - Street 2:SUITE 200
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2051
Practice Address - Country:US
Practice Address - Phone:626-792-4185
Practice Address - Fax:626-792-7358
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA94748207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine