Provider Demographics
NPI:1093718892
Name:GOYAL, DINESH K (MD)
Entity Type:Individual
Prefix:DR
First Name:DINESH
Middle Name:K
Last Name:GOYAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:825 NICOLLET MALL
Mailing Address - Street 2:STE 2000
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55402-2708
Mailing Address - Country:US
Mailing Address - Phone:612-338-4861
Mailing Address - Fax:612-333-8306
Practice Address - Street 1:825 NICOLLET MALL
Practice Address - Street 2:STE 2000
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55402-2708
Practice Address - Country:US
Practice Address - Phone:612-338-4861
Practice Address - Fax:612-333-8306
Is Sole Proprietor?:No
Enumeration Date:2005-05-24
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MN45988207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN1021630002OtherADMINISTAR FEDERAL DT
MN0800962OtherMEDICA
MN2000002101436OtherMETROPOLITAN HEALTH PLAN
MN962531034411OtherPREFERRED ONE
MN0800962OtherSELECT CARE
MN028G5GOOtherBLUE SHIELD
MN1021630001OtherADMINISTAR FEDERAL NE
MN0800038OtherMEDICA PRIMARY
MNHP38691OtherHEALTHPARTNERS
MN028G5GOOtherBLUE SHIELD
MN1021630001OtherADMINISTAR FEDERAL NE