Provider Demographics
NPI:1093721318
Name:GOEL, JASLEEN K (MD)
Entity Type:Individual
Prefix:DR
First Name:JASLEEN
Middle Name:K
Last Name:GOEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10500 MONTGOMERY ROAD
Mailing Address - Street 2:BETHESDA NORTH HOSPITAL
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242
Mailing Address - Country:US
Mailing Address - Phone:513-862-4074
Mailing Address - Fax:513-862-4189
Practice Address - Street 1:10500 MONTGOMERY ROAD
Practice Address - Street 2:BETHESDA NORTH HOSPITAL
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242
Practice Address - Country:US
Practice Address - Phone:513-862-4074
Practice Address - Fax:513-862-4189
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2017-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.074744208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2097378Medicaid