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NPI Code Detail

MEDICARE: USHA I GOOHYA MD

MEDICARE:   USHA I GOOHYA  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 Physician226337NY

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 : 1508862137
Entity Type Code : Individual
Provider Name (Legal Business Name) : USHA I GOOHYA MD
Provider Business Mailing Address
First Line : 126 CONSTITUTION DRIVE
Second Line :
City : ORANGEBURG
State : NY
Zip : 10962
Country : US
Telephone Number : 845-359-8123
Fax Number : 845-942-4223
Provider Business Practice Location Address
First Line : 27 LIBERTY SQUARE MALL
Second Line : ROUTE 9W
City : STONY POINT
State : NY
Zip : 10980-2400
Country : US
Telephone Number : 845-942-4222
Fax Number : 845-942-4223
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/28/2005
Last Update Date : 03/27/2014

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Directions to “ USHA I GOOHYA MD” Practice Location

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