Individual
DEBORAH K GOLDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3900 WASHINGTON AVE, STE 100A, EVANSVILLE, IN 47714-0550
(812) 485-7240
(812) 485-7244
Mailing address
PO BOX 359, EVANSVILLE, IN 47703-0359
(812) 485-1220
(812) 485-8544
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01028975
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000579110
ANTHEM
IN
05
—
100246790
—
IN
01
—
200859330M
MEDICAID GROUP
IN
Enumeration date
02/22/2006
Last updated
02/14/2012
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