Provider Demographics
NPI:1346377090
Name:GOYAL, NAVIN (MD)
Entity Type:Individual
Prefix:
First Name:NAVIN
Middle Name:
Last Name:GOYAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7212 DEACON CT
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7070
Mailing Address - Country:US
Mailing Address - Phone:614-389-3290
Mailing Address - Fax:
Practice Address - Street 1:7212 DEACON CT
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-7070
Practice Address - Country:US
Practice Address - Phone:614-389-3290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036-114892207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036-114892OtherSTATE MEDICAL LICENSE
OH2771111Medicaid
OHGO4213291Medicare PIN