Provider Demographics
NPI:1619037694
Name:GOEL, NITI (MD)
Entity Type:Individual
Prefix:DR
First Name:NITI
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 1:3005 CARRINGTON MILL BLVD
Mailing Address - Street 2:STE 150
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-8885
Mailing Address - Country:US
Mailing Address - Phone:919-415-3674
Mailing Address - Fax:
Practice Address - Street 1:3005 CARRINGTON MILL BLVD
Practice Address - Street 2:STE 150
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-8885
Practice Address - Country:US
Practice Address - Phone:919-415-3674
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2011-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ9684207RR0500X
GA61240207RR0500X
NC9300128207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX129196501Medicaid
TX129196501Medicaid
TX82Y522Medicare PIN