# DR. OLGA GOODMAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1407081698
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | P7638 | TX | — |
| 207RR0500X | Rheumatology Physician | 036-138100 | IL | Yes |
| 208000000X | Pediatrics Physician | P7638 | TX | — |

## Other

- **Enumeration date:** 05/18/2009
- **Last updated:** 03/18/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 036138100 | — | IL |