Organization
SHASHI JAIN GOEL MD PC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHASHI JAIN GOEL MD (PRESIDENT)
(602) 242-7500
Entity
Organization
Contact information
Practice address
2040 W BETHANY HOME RD, SUITE #105, PHOENIX, AZ 85015-2445
(602) 242-7500
(602) 433-2644
Mailing address
2040 W BETHANY HOME RD, SUITE #105, PHOENIX, AZ 85015-2445
(602) 242-7500
(602) 433-2644
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
24977
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
388026
—
AZ
Enumeration date
12/29/2006
Last updated
04/05/2017
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