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Individual

DR. SHARAD GOEL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1210 HICKS BLVD, FAIRFIELD, OH 45014-1921
(513) 939-3975
(513) 939-3985
Mailing address
1210 HICKS BLVD, FAIRFIELD, OH 45014-1921
(513) 939-3975
(513) 939-3985

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
33981
KY
207RN0300X
Nephrology Physician
Primary
35-074641
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
110173268
MEDICARE RAILROAD
OH
05
200454700
IN
05
2091301
OH
05
64339815
KY
Enumeration date
06/21/2006
Last updated
08/07/2012
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