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1093718892

NPI Code Detail

MEDICARE: DR. DINESH K GOYAL MD

MEDICARE: DR. DINESH K GOYAL MD

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
1	207W00000X	Ophthalmology Physician	45988	MN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1021630002	OTHER	MN	ADMINISTAR FEDERAL DT
2	0800962	OTHER	MN	MEDICA
3	2000002101436	OTHER	MN	METROPOLITAN HEALTH PLAN
4	962531034411	OTHER	MN	PREFERRED ONE
5	0800962	OTHER	MN	SELECT CARE
6	028G5GO	OTHER	MN	BLUE SHIELD
7	1021630001	OTHER	MN	ADMINISTAR FEDERAL NE
8	0800038	OTHER	MN	MEDICA PRIMARY
9	HP38691	OTHER	MN	HEALTHPARTNERS

General Provider Information

NPI Number	:	1093718892
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DINESH K GOYAL MD

Provider Business Mailing Address
First Line	:	825 NICOLLET MALL
Second Line	:	STE 2000
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55402-2708
Country	:	US
Telephone Number	:	612-338-4861
Fax Number	:	612-333-8306

Provider Business Practice Location Address
First Line	:	825 NICOLLET MALL
Second Line	:	STE 2000
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55402-2708
Country	:	US
Telephone Number	:	612-338-4861
Fax Number	:	612-333-8306

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2005
Last Update Date	:	07/08/2007

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Practice Location Address:

825 NICOLLET MALL , STE 2000
MINNEAPOLIS, MN
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Practice Phone: 612-338-4861
Practice Fax: 612-333-8306

1770587180 — DR. TROND A STOCKENSTROM MD
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825 NICOLLET MALL , STE 2000
MINNEAPOLIS, MN
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1952306300 — DR. ANNE TOWEY MD
Practice Location Address:

825 NICOLLET MALL , STE 2000
MINNEAPOLIS, MN
55402-2708

Practice Phone: 612-338-4861
Practice Fax: 612-333-8306

1598762700 — DR. NEAL ANDREW SHER MD
Practice Location Address:

825 NICOLLET MALL , STE 2000
MINNEAPOLIS, MN
55402-2708

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1861889776 — MICHAEL ANDREW JORDAN M.D.
Practice Location Address:

825 NICOLLET MALL STE 2000
MINNEAPOLIS, MN
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1871583914 — DR. ANTHONY ALDO ONGARO D.D.S.
Practice Location Address:

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Directions to “ DR. DINESH K GOYAL MD” Practice Location

Language	Start Address	Practice Location

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