MEDICARE: ANIL K GOLI 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	207RC0000X	Cardiovascular Disease Physician	38652	NH
2	207RC0001X	Clinical Cardiac Electrophysiology Physician	N7264	TX
3	207P00000X	Emergency Medicine Physician	36560	TN
4	174400000X	Specialist	MD36560	TN

Other Identifiers

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

General Provider Information

NPI Number	:	1629013008
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANIL K GOLI MD

Provider Business Mailing Address
First Line	:	21212 NORTHWEST FWY STE 265
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-5883
Country	:	US
Telephone Number	:	281-653-9123
Fax Number	:	281-653-9175

Provider Business Practice Location Address
First Line	:	21212 NORTHWEST FWY STE 265
Second Line	:
City	:	CYPRESS
State	:	TX
Zip	:	77429-5883
Country	:	US
Telephone Number	:	281-653-9123
Fax Number	:	281-653-9175

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

Provider Enumeration Date	:	06/18/2006
Last Update Date	:	02/13/2026

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