MEDICARE: DR. NAKUL GOYAL 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
1	207R00000X	Internal Medicine Physician	D38457	MD

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	110170880	OTHER		RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	A980	OTHER	DC	CAREFIRST DC
4	3847	OTHER	MD	CAREFIRST MD

General Provider Information

NPI Number	:	1194738567
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. NAKUL GOYAL M.D.

Provider Business Mailing Address
First Line	:	PO BOX 769
Second Line	:
City	:	OLNEY
State	:	MD
Zip	:	20830-0769
Country	:	US
Telephone Number	:	301-598-4500
Fax Number	:	301-598-3797

Provider Business Practice Location Address
First Line	:	3801 INTERNATIONAL DR
Second Line	:	SUITE 211
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-1550
Country	:	US
Telephone Number	:	301-598-4500
Fax Number	:	301-598-3797

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

Provider Enumeration Date	:	08/15/2006
Last Update Date	:	03/25/2014

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Directions to “ DR. NAKUL GOYAL M.D.” Practice Location

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