Individual
ASHIMA GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2050 KENNY RD, COLUMBUS, OH 43221-3502
(614) 293-8629
(614) 293-3112
Mailing address
700 ACKERMAN RD STE 2120, COLUMBUS, OH 43202-1559
(614) 293-8629
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50004400RX
OH
363A00000X
Physician Assistant
PA06977
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0146866
—
OH
05
—
218456601
—
TX
01
—
838N13
BCBS
TX
Enumeration date
01/18/2011
Last updated
12/08/2020
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