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NPI Code Detail

MEDICARE: DR. MISOOR SAID GOUELI M.D.

MEDICARE: DR. MISOOR SAID GOUELI M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208M00000XHospitalist Physician35.129917OH
2207R00000XInternal Medicine Physician35.129917OH

General Provider Information

NPI Number : 1043570773
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MISOOR SAID GOUELI M.D.
Provider Business Mailing Address
First Line : PO BOX 636256
Second Line :
City : CINCINNATI
State : OH
Zip : 45263-6325
Country : US
Telephone Number : 513-585-6200
Fax Number : 513-245-3672
Provider Business Practice Location Address
First Line : 3200 VINE ST
Second Line :
City : CINCINNATI
State : OH
Zip : 45220-2213
Country : US
Telephone Number : 513-861-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2012
Last Update Date : 01/20/2026

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