Individual
SAMITA SALLY GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
61439
WI
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
0101266133
VA
Other
Enumeration date
04/13/2012
Last updated
11/15/2023
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