Healthcare Provider Details

I. General information

NPI: 1609043082
Provider Name (Legal Business Name): SEEMA GOYAL M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/14/2008
Last Update Date: 12/23/2024
Certification Date: 12/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 TAFT CT STE 175
ROCKVILLE MD
20850-5578
US

IV. Provider business mailing address

6001 MONTROSE RD STE 702
NORTH BETHESDA MD
20852-4873
US

V. Phone/Fax

Practice location:
  • Phone: 301-230-5888
  • Fax: 301-230-2488
Mailing address:
  • Phone: 301-230-5888
  • Fax: 301-230-2488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RR0500X
TaxonomyRheumatology Physician
License NumberD0084798
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: