Individual
DR. WILLIAM CARLTON DOUKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7467 RIDGE RD STE 140, HANOVER, MD 21076-3118
(410) 768-5050
(410) 768-7830
Mailing address
7467 RIDGE RD STE 140, HANOVER, MD 21076-3118
(410) 768-5050
(410) 768-7830
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
D78537
MD
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
D78537
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810011313
—
WV
01
—
4225051
MEDICARE PTAN
WV
Enumeration date
05/17/2006
Last updated
02/19/2024
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