Individual
DEEPAK MANMOHAN GOYAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
603 EAST ST N, ELGIN, ND 58533
(701) 584-3338
Mailing address
353 FAIRMONT BLVD, RAPID CITY, SD 57701-7375
(605) 755-1000
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125058528
IL
207R00000X
Internal Medicine Physician
Primary
12742
ND
Other
Enumeration date
01/18/2011
Last updated
08/08/2018
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