Provider Demographics
NPI:1598791543
Name:GOYAL, PARUL (MD)
Entity Type:Individual
Prefix:
First Name:PARUL
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 1:101 RICHMOND AVE STE 320
Mailing Address - Street 2:
Mailing Address - City:SYRACUSE
Mailing Address - State:NY
Mailing Address - Zip Code:13204
Mailing Address - Country:US
Mailing Address - Phone:315-254-2030
Mailing Address - Fax:315-254-2031
Practice Address - Street 1:101 RICHMOND AVE STE 320
Practice Address - Street 2:
Practice Address - City:SYRACUSE
Practice Address - State:NY
Practice Address - Zip Code:13204-2298
Practice Address - Country:US
Practice Address - Phone:315-254-2030
Practice Address - Fax:315-254-2031
Is Sole Proprietor?:No
Enumeration Date:2006-06-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA10552900207Y00000X
NY2398491207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology