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Organization
YATISH GOYAL MD INC
Active
Organization
YATISH GOYAL MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. YATISH GOYAL MD (PRESIDENT)
(330) 725-7277
Entity
Organization
Contact information
Practice address
970 E WASHINGTON ST, SUITE 204, MEDINA, OH 44256-3332
(330) 725-7277
(330) 725-7266
Mailing address
970 E WASHINGTON ST, SUITE 204, MEDINA, OH 44256-3332
(330) 725-7277
(330) 725-7266
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35074511G
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0884012
MEDICARE PIN#
OH
01
—
0884014
MEDICARE PIN#
OH
05
—
2138261
—
OH
Enumeration date
09/26/2005
Last updated
07/21/2011
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