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NPI Code Detail

MEDICARE: HITESH GOEL MD

MEDICARE: HITESH GOEL MD
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 Physician10611NV

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1V106808OTHERNVSMACC MEDICARE

General Provider Information

NPI Number : 1164432597
Entity Type Code : Individual
Provider Name (Legal Business Name) : HITESH GOEL MD
Provider Business Mailing Address
First Line : 102 WOODMONT BLVD STE 600
Second Line :
City : NASHVILLE
State : TN
Zip : 37205-5250
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1501 W SUNSET RD
Second Line :
City : HENDERSON
State : NV
Zip : 89014-6636
Country : US
Telephone Number : 725-269-7001
Fax Number : 725-269-7003
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2006
Last Update Date : 08/07/2024

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