Individual
DR. PARUL BANSAL GOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3090 N 3RD AVE, PHOENIX, AZ 85013
(602) 745-2954
(602) 745-2964
Mailing address
2910 N 3RD AVE, PHOENIX, AZ 85013-4434
(602) 745-2954
(602) 745-2964
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
42046
AZ
208VP0014X
Interventional Pain Medicine Physician
Primary
42046
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
440435
—
AZ
Enumeration date
05/02/2007
Last updated
01/06/2021
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