Individual
RAJESH GOGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3025 MATLOCK RD, STE 100, ARLINGTON, TX 76015-2902
(214) 502-8157
(972) 739-1468
Mailing address
2140 E SOUTHLAKE BLVD, STE L-309, SOUTHLAKE, TX 76092-6516
(214) 502-8157
(972) 739-1468
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
057464
GA
2085R0202X
Diagnostic Radiology Physician
Primary
M5724
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
147305774C
—
GA
01
—
P00670157
MEDICARE RAILROAD
TX
Enumeration date
05/23/2006
Last updated
05/03/2017
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