Individual
NIKHIL GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2799 W GRAND BLVD, CFP-259, DETROIT, MI 48202-2608
(313) 916-3915
(313) 916-7437
Mailing address
2799 W GRAND BLVD, CFP-259, DETROIT, MI 48202-2608
(313) 916-3915
(313) 916-7437
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
4301077750
MI
207R00000X
Internal Medicine Physician
4301077750
MI
2083C0008X
Clinical Informatics Physician
4301077750
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010H262530
BLUE CROSS-BLUE CROSS
—
05
—
492500710
—
MI
01
—
NG077750
CHAMPUS-CHAMPUS
—
Enumeration date
05/26/2006
Last updated
06/22/2021
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