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NPI Code Detail

MEDICARE: KIRAN GOYAL M.D.

MEDICARE: KIRAN GOYAL M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianA69512CA

General Provider Information

NPI Number : 1003804865
Entity Type Code : Individual
Provider Name (Legal Business Name) : KIRAN GOYAL M.D.
Provider Business Mailing Address
First Line : PO BOX A D
Second Line :
City : YUBA CITY
State : CA
Zip : 95992-1396
Country : US
Telephone Number : 530-751-3769
Fax Number : 530-751-1237
Provider Business Practice Location Address
First Line : 334 SAMUEL DR
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-6325
Country : US
Telephone Number : 530-674-9200
Fax Number : 530-674-5667
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2005
Last Update Date : 07/01/2011

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