Healthcare Provider Details

I. General information

NPI: 1174744965
Provider Name (Legal Business Name): DR GOEL & ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

730 SOUTH MAIN STREET
DAYTON OH
45402
US

IV. Provider business mailing address

730 SOUTH MAIN STREET
DAYTON OH
45402
US

V. Phone/Fax

Practice location:
  • Phone: 937-222-0383
  • Fax: 937-222-0385
Mailing address:
  • Phone: 937-222-0383
  • Fax: 937-222-0385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License Number
License Number State

VIII. Authorized Official

Name: SUNDER L GOEL
Title or Position: GENERAL PARTNER
Credential: MD
Phone: 937-222-0383