Individual
DR. SHEFALI BHUSNURMATH GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
877 JEFFERSON AVE, CHANDLER BLDG 4TH FLOOR, MEMPHIS, TN 38103-2807
(901) 545-7558
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-7558
Taxonomy
Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
003386-1
NY
207ZP0101X
Anatomic Pathology Physician
01066212A
IN
207ZP0101X
Anatomic Pathology Physician
MD 60164230
WA
207ZP0101X
Anatomic Pathology Physician
MD60164230
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
50663
TN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/11/2007
Last updated
02/11/2015
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