MEDICARE: DR. ANOJ KUMAR 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
1	207RE0101X	Endocrinology, Diabetes & Metabolism Physician	2008010948	MO

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
2	PAR	OTHER	VA	VA PREMIER VPH
3	PAR	OTHER	VA	MULTI PLAN
4	PAR	OTHER	VA	AMERICAS HEALTH PLAN
5	0511D	OTHER	NC	BC/BS NC
6	227917	OTHER	VA	ANTHEM BC/BS
7	377490	OTHER	VA	UHC/MAMSI/MDIPA
8	PAR	OTHER	VA	AETNA PPO
9	-033	OTHER	VA	CHAMPUS/TRICARE
10	23855	OTHER	NC	SENTARA OHP/SHP
11	PAR	OTHER	VA	CIGNA
12	PAR	OTHER	VA	VHN/P HCS
13	PAR	OTHER	VA	MID-ATLANTIC VICARE
14	PAR	OTHER	VA	CORVEL CORCARE
15	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
16	PAR	OTHER	VA	USA MANAGE D CARE
17	PAR	OTHER	VA	FIRST HEALTH

General Provider Information

NPI Number	:	1669446498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANOJ KUMAR GOEL M.D.

Provider Business Mailing Address
First Line	:	15 TERRY HILL LN
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-2422
Country	:	US
Telephone Number	:	314-518-3382
Fax Number	:

Provider Business Practice Location Address
First Line	:	3394 MCKELVEY RD STE 115
Second Line	:
City	:	BRIDGETON
State	:	MO
Zip	:	63044-2531
Country	:	US
Telephone Number	:	314-643-7692
Fax Number	:	888-946-8228

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

Provider Enumeration Date	:	02/16/2006
Last Update Date	:	09/15/2018

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