# SUSHMA GOYAL

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528525797
- **Authorized official:** DR. SUSHMA GOYAL MD (OWNER)
- **Authorized official phone:** (202) 562-4100

## Contact information

- **Practice address:** 1328 SOUTHERN AVE SE STE 316, WASHINGTON, DC 20032-4689
- **Practice address phone:** (202) 562-4100
- **Practice address fax:** (201) 562-4101
- **Mailing address:** 10821 BARN WOOD LN, POTOMAC, MD 20854-1329
- **Mailing address phone:** (301) 299-4944
- **Mailing address fax:** (202) 562-4101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0000X | Adolescent Medicine (Family Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/25/2019
- **Last updated:** 02/25/2019