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NPI Code Detail

MEDICARE: ANNU R GOEL DPM

MEDICARE:   ANNU R GOEL  DPM
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
1213E00000XPodiatrist36002768OH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00032532OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1639172661
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNU R GOEL DPM
Provider Business Mailing Address
First Line : 4235 SECOR RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-4299
Country : US
Telephone Number : 419-473-3561
Fax Number :
Provider Business Practice Location Address
First Line : 4235 SECOR RD
Second Line :
City : TOLEDO
State : OH
Zip : 43623-4299
Country : US
Telephone Number : 567-420-2265
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2005
Last Update Date : 08/15/2025

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Directions to “ ANNU R GOEL DPM” Practice Location

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