Healthcare Provider Details

I. General information

NPI: 1336213925
Provider Name (Legal Business Name): VISHAL GOEL PSC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/17/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

789 EASTERN BYP SUITE 17
RICHMOND KY
40475-2415
US

IV. Provider business mailing address

PO BOX 1477
RICHMOND KY
40476-1477
US

V. Phone/Fax

Practice location:
  • Phone: 859-626-4797
  • Fax: 859-626-0519
Mailing address:
  • Phone: 859-626-4797
  • Fax: 859-626-0519

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License NumberKY34522
License Number StateKY
# 2
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License NumberKY34522
License Number StateKY
# 3
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License NumberKY34522
License Number StateKY

VIII. Authorized Official

Name: VISHAL GOEL
Title or Position: PRESIDENT
Credential: MD
Phone: 859-626-4797