Provider Demographics
NPI:1083606032
Name:GOEL, SATISH (MD)
Entity Type:Individual
Prefix:DR
First Name:SATISH
Middle Name:
Last Name:GOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:8850 N MACARTHUR BLVD
Mailing Address - Street 2:SUITE# 102
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7594
Mailing Address - Country:US
Mailing Address - Phone:972-444-8632
Mailing Address - Fax:972-444-9632
Practice Address - Street 1:8850 N. MACARTHUR BOULEVARD
Practice Address - Street 2:102
Practice Address - City:IRVING
Practice Address - State:TX
Practice Address - Zip Code:75766-7596
Practice Address - Country:US
Practice Address - Phone:972-444-8632
Practice Address - Fax:972-444-8691
Is Sole Proprietor?:No
Enumeration Date:2005-08-16
Last Update Date:2013-03-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXK6592208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX160484501Medicaid
TX160484506Medicaid