Individual
RAJAT GOEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5501 WOODLAND AVE, PHILADELPHIA, PA 19143-5607
(215) 724-4700
(215) 724-3111
Mailing address
1401 S. 31ST STREET, 2ND FLOOR, PHILADELPHIA, PA 19146
(215) 925-2400
(215) 925-9162
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD064502L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1409063
BS NUMBER
PA
01
—
231352191
DEVON NUMBER
PA
01
—
MD064502L
LICENSE
PA
Enumeration date
08/01/2006
Last updated
03/07/2023
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