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NPI Code Detail

MEDICARE: DR. AMITABH GOEL MD

MEDICARE: DR. AMITABH 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
1208600000XSurgery Physician35-075221OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1689606006
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMITABH GOEL MD
Provider Business Mailing Address
First Line : 24701 EUCLID AVE
Second Line : THIRD FLOOR BILLING SERVICES
City : EUCLID
State : OH
Zip : 44117-1714
Country : US
Telephone Number : 440-415-0115
Fax Number : 440-415-0390
Provider Business Practice Location Address
First Line : 870 W MAIN ST # 201
Second Line :
City : GENEVA
State : OH
Zip : 44041-1219
Country : US
Telephone Number : 440-466-1141
Fax Number : 440-416-0390
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2006
Last Update Date : 11/07/2020

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Directions to “ DR. AMITABH GOEL MD” Practice Location

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