Provider Demographics
NPI:1669446498
Name:GOEL, ANOJ KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:ANOJ
Middle Name:KUMAR
Last Name:GOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:15 TERRY HILL LN
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63131-2422
Mailing Address - Country:US
Mailing Address - Phone:314-518-3382
Mailing Address - Fax:
Practice Address - Street 1:3394 MCKELVEY RD STE 115
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-2531
Practice Address - Country:US
Practice Address - Phone:314-643-7692
Practice Address - Fax:888-946-8228
Is Sole Proprietor?:Yes
Enumeration Date:2006-02-16
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2008010948207RE0101X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC890511DMedicaid
VAPAROtherVA PREMIER VPH
VAPAROtherMULTI PLAN
VAPAROtherAMERICAS HEALTH PLAN
NC0511DOtherBC/BS NC
VA227917OtherANTHEM BC/BS
VA377490OtherUHC/MAMSI/MDIPA
VAPAROtherAETNA PPO
VA-033OtherCHAMPUS/TRICARE
NC23855OtherSENTARA OHP/SHP
VAPAROtherCIGNA
VAPAROtherVHN/P HCS
VAPAROtherMID-ATLANTIC VICARE
VAPAROtherCORVEL CORCARE
VA005836344Medicaid
VAPAROtherUSA MANAGE D CARE
VAPAROtherFIRST HEALTH
VA377490OtherUHC/MAMSI/MDIPA