=====================================================
General NPI Number Information
=====================================================
NPI Number | 1063695658
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | RAJAN GOYAL M.D.
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/06/2007
-----------------------------------------------------
Last Update Date | 09/27/2023
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5531 BUSINESS PARK S STE 201A
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93309-1668
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-371-3170
-----------------------------------------------------
Fax | 661-371-3169
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5531 BUSINESS PARK S STE 201A
-----------------------------------------------------
City | BAKERSFIELD
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 93309-1668
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 661-371-3170
-----------------------------------------------------
Fax | 661-371-3169
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RC0200X
-----------------------------------------------------
Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
-----------------------------------------------------
License Number | A139406
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 207RP1001X
-----------------------------------------------------
Taxonomy Name | Pulmonary Disease Physician
-----------------------------------------------------
License Number | A139406
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------