Individual
SAMEER GOYAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 JEFFERSON AVE, MEMPHIS, TN 38103-2807
(901) 448-4454
(901) 448-1248
Mailing address
877 JEFFERSON AVE, ATTN: PROVIDER ENROLLMENT, MEMPHIS, TN 38103-2807
(901) 545-8336
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0003247
DE
2085R0202X
Diagnostic Radiology Physician
Primary
52357
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
278972800
—
FL
Enumeration date
07/10/2006
Last updated
02/25/2015
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