Provider Demographics
NPI:1336140870
Name:GOLI, CHINA K (MD)
Entity Type:Individual
Prefix:DR
First Name:CHINA
Middle Name:K
Last Name:GOLI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:251 KEISLER DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7091
Mailing Address - Country:US
Mailing Address - Phone:919-851-1600
Mailing Address - Fax:919-851-1666
Practice Address - Street 1:251 KEISLER DR
Practice Address - Street 2:SUITE 300
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27518-7091
Practice Address - Country:US
Practice Address - Phone:919-851-1600
Practice Address - Fax:919-851-1666
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2008-05-22
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9901533207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
7955269OtherAETNA
36399OtherPARTNERS MEDICARE CHOICE
04-56276OtherUNITED HEALTH CARE
294305OtherMAMSI
NC12674OtherBLUE CROSS &BLUE SHIELD
NC8912674Medicaid
894305 (PCP)OtherMAMSI
NC8912674Medicaid
NC2280507AMedicare PIN