Organization
V. R GOLI,PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VENKATESWARA R GOLI M.D. (PRESIDENT)
(606) 439-3334
Entity
Organization
Contact information
Practice address
200 MEDICAL CENTER DR, SUITE 3P, HAZARD, KY 41701-9466
(606) 439-3334
Mailing address
200 MEDICAL CENTER DR, SUITE 3P, HAZARD, KY 41701-9466
(606) 439-3334
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
19722
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64197221
—
KY
Enumeration date
03/29/2010
Last updated
03/29/2010
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