MEDICARE: DR. AARON MICHAEL GOODMAN 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
1	207RH0003X	Hematology & Oncology Physician	27714	NV

General Provider Information

NPI Number	:	1851603559
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AARON MICHAEL GOODMAN MD

Provider Business Mailing Address
First Line	:	PO BOX 100744
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30384-0744
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3150 N TENAYA WAY STE 320
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89128-0447
Country	:	US
Telephone Number	:	702-962-2100
Fax Number	:	702-962-5620

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/09/2010
Last Update Date	:	10/02/2025

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