Provider Demographics
NPI:1093040404
Name:GOLOFF, NAOMI (MD)
Entity Type:Individual
Prefix:DR
First Name:NAOMI
Middle Name:
Last Name:GOLOFF
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2450 26TH AVE S
Mailing Address - Street 2:FAIRVIEW HOME CARE AND HOSPICE
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55406-1245
Mailing Address - Country:US
Mailing Address - Phone:612-721-2491
Mailing Address - Fax:612-728-2400
Practice Address - Street 1:2450 26TH AVE S
Practice Address - Street 2:FAIRVIEW HOME CARE AND HOSPICE
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55406-1245
Practice Address - Country:US
Practice Address - Phone:612-721-2491
Practice Address - Fax:612-728-2400
Is Sole Proprietor?:No
Enumeration Date:2009-10-03
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN53894208000000X, 2080H0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080H0002XAllopathic & Osteopathic PhysiciansPediatricsHospice and Palliative Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MNFG2736188OtherDEA