Individual
DR. SHAVETA GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
11211 WAPLES MILL RD STE 150, FAIRFAX, VA 22030-7414
(703) 592-4600
Mailing address
2110 GALLOWS RD STE D, VIENNA, VA 22182-3962
(703) 592-4600
(703) 592-4601
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101261435
VA
207Q00000X
Family Medicine Physician
D0081807
MD
2083B0002X
Obesity Medicine (Preventive Medicine) Physician
0101261435
VA
Other
Enumeration date
06/25/2010
Last updated
08/18/2025
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