Provider Demographics
NPI:1104038405
Name:GOYAL, AMIT KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:AMIT
Middle Name:KUMAR
Last Name:GOYAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1350 LOCUST ST
Mailing Address - Street 2:STE 406
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15219-4738
Mailing Address - Country:US
Mailing Address - Phone:412-232-8104
Mailing Address - Fax:412-281-1898
Practice Address - Street 1:720 BLACKBURN RD
Practice Address - Street 2:
Practice Address - City:SEWICKLEY
Practice Address - State:PA
Practice Address - Zip Code:15143-1459
Practice Address - Country:US
Practice Address - Phone:412-749-7364
Practice Address - Fax:412-749-6769
Is Sole Proprietor?:No
Enumeration Date:2007-05-07
Last Update Date:2020-04-30
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NY241463207ZC0500X, 207ZP0102X
PAMD435020207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA726351HJSMedicare PIN