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NPI Code Detail

MEDICARE: DR. SHREYA GOYAL MD

MEDICARE: DR. SHREYA 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
1207R00000XInternal Medicine PhysicianT8213TX
2390200000XStudent in an Organized Health Care Education/Training Program
3207R00000XInternal Medicine Physician325898NY

General Provider Information

NPI Number : 1245791854
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. SHREYA GOYAL MD
Provider Business Mailing Address
First Line : 129 W 29TH ST FL 10
Second Line :
City : NEW YORK
State : NY
Zip : 10001-5105
Country : US
Telephone Number : 415-658-6791
Fax Number :
Provider Business Practice Location Address
First Line : 919 3RD AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10022-3902
Country : US
Telephone Number : 212-530-0650
Fax Number : 212-867-4353
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2019
Last Update Date : 12/18/2023

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