MEDICARE: SANDEEP K 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
1	207R00000X	Internal Medicine Physician	46393	TN
2	207RC0000X	Cardiovascular Disease Physician	072274	GA
3	207RC0001X	Clinical Cardiac Electrophysiology Physician	072274	GA

General Provider Information

NPI Number	:	1598955544
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDEEP K GOYAL MD

Provider Business Mailing Address
First Line	:	275 COLLIER ROAD NW
Second Line	:	SUITE 500
City	:	ATLANTA
State	:	GA
Zip	:	30309-1711
Country	:	US
Telephone Number	:	404-605-2800
Fax Number	:	404-351-5983

Provider Business Practice Location Address
First Line	:	275 COLLIER ROAD
Second Line	:	SUITE 500
City	:	ATLANTA
State	:	GA
Zip	:	30309-1711
Country	:	US
Telephone Number	:	404-605-2800
Fax Number	:	404-351-5983

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

Provider Enumeration Date	:	07/26/2007
Last Update Date	:	06/30/2014

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Directions to “ SANDEEP K GOYAL MD” Practice Location

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