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NPI Code Detail

MEDICARE: DR. HERSH VIVEK GOEL M.D.

MEDICARE:  DR. HERSH VIVEK GOEL  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
1208D00000XGeneral Practice Physician53576AZ

General Provider Information

NPI Number : 1477940609
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HERSH VIVEK GOEL M.D.
Provider Business Mailing Address
First Line : 3662 W INA RD
Second Line : SUITE 150
City : TUCSON
State : AZ
Zip : 85741-2269
Country : US
Telephone Number : 520-302-5096
Fax Number :
Provider Business Practice Location Address
First Line : 90 W RIVER RD
Second Line :
City : TUCSON
State : AZ
Zip : 85704-5130
Country : US
Telephone Number : 520-302-5096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2015
Last Update Date : 02/15/2017

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Directions to “ DR. HERSH VIVEK GOEL M.D.” Practice Location

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