Healthcare Provider Details

I. General information

NPI: 1689825788
Provider Name (Legal Business Name): MANUJ GOEL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/07/2008
Last Update Date: 11/20/2025
Certification Date: 11/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16233 SYLVESTER RD SW STE G60
BURIEN WA
98166-3047
US

IV. Provider business mailing address

16233 SYLVESTER RD SW STE G60
BURIEN WA
98166-3047
US

V. Phone/Fax

Practice location:
  • Phone: 206-988-5724
  • Fax:
Mailing address:
  • Phone: 206-988-5724
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207PE0005X
TaxonomyUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
License NumberMD61387268
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD61387268
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: