Organization
MOLECULAR MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUMINA GOEL MD (PHYSICIAN)
(212) 365-4101
Entity
Organization
Contact information
Practice address
11308 S COLLEGE AVE, TULSA, OK 74137-8728
(212) 365-4101
Mailing address
11308 S COLLEGE AVE, TULSA, OK 74137-8728
(212) 365-4101
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
29055
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200437310A
—
OK
01
—
OKA104608
MEDICARE P10
OK
Enumeration date
09/20/2016
Last updated
12/19/2016
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