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NPI Code Detail

MEDICARE: MISS SUPRIYA GOYAL M.D.

MEDICARE: MISS SUPRIYA 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
1207W00000XOphthalmology Physician35-095149OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477518975
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SUPRIYA GOYAL M.D.
Provider Business Mailing Address
First Line : 1001 LAKESIDE AVE E
Second Line : STE 1200
City : CLEVELAND
State : OH
Zip : 44114-1172
Country : US
Telephone Number : 216-479-5248
Fax Number : 216-479-5554
Provider Business Practice Location Address
First Line : 12301 SNOW RD
Second Line :
City : PARMA
State : OH
Zip : 44130-1002
Country : US
Telephone Number : 216-524-7377
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/18/2006
Last Update Date : 02/24/2016

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Directions to “ MISS SUPRIYA GOYAL M.D.” Practice Location

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