Individual
SUSHMA GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1328 SOUTHERN AVE SE, SUITE 316, WASHINGTON, DC 20032-4689
(202) 562-4100
(202) 562-4101
Mailing address
1328 SOUTHERN AVE SE, SUITE 316, WASHINGTON, DC 20032-4689
(202) 562-4100
(202) 562-4101
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD7081
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025205800
—
DC
05
—
383341100
—
MD
Enumeration date
09/13/2006
Last updated
07/08/2007
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