Provider Demographics
NPI:1609891316
Name:GOEL, NEETA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEETA
Middle Name:
Last Name:GOEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44095 PIPELINE PLZ
Mailing Address - Street 2:STE 370
Mailing Address - City:ASHBURN
Mailing Address - State:VA
Mailing Address - Zip Code:20147-5898
Mailing Address - Country:US
Mailing Address - Phone:703-858-3140
Mailing Address - Fax:571-223-3242
Practice Address - Street 1:44095 PIPELINE PLZ
Practice Address - Street 2:STE 370
Practice Address - City:ASHBURN
Practice Address - State:VA
Practice Address - Zip Code:20147-5898
Practice Address - Country:US
Practice Address - Phone:703-858-3140
Practice Address - Fax:571-223-3242
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101233569207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0101233569OtherSTATE LICENSE NUMBER
05302179OtherECFMG NUMBER
VA00W600A44Medicare ID - Type Unspecified
05302179OtherECFMG NUMBER