Individual
SHASHI JAIN GOEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD PC INC
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
07/19/2005
Last updated
01/27/2023
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