Provider Demographics
NPI:1609910579
Name:GOH, EWE GHEE (MD)
Entity Type:Individual
Prefix:DR
First Name:EWE
Middle Name:GHEE
Last Name:GOH
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 1:810 N ZANG BLVD STE 200
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75208-4264
Mailing Address - Country:US
Mailing Address - Phone:214-943-4331
Mailing Address - Fax:214-238-0538
Practice Address - Street 1:810 N ZANG BLVD STE 200
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75208-4264
Practice Address - Country:US
Practice Address - Phone:214-943-4331
Practice Address - Fax:214-238-0538
Is Sole Proprietor?:No
Enumeration Date:2007-02-16
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXF4842208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX092158701Medicaid
TX092158703Medicaid
TX092158702Medicaid
TX751791138OtherPROVIDERS TAX ID
TX00NC59OtherBCBS
B23045Medicare UPIN