Provider Demographics
NPI:1700373503
Name:GOYAL, AAKASH (DO)
Entity Type:Individual
Prefix:
First Name:AAKASH
Middle Name:
Last Name:GOYAL
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:808 MOSS CREEK PLANTATION
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30097-5958
Mailing Address - Country:US
Mailing Address - Phone:678-799-6043
Mailing Address - Fax:
Practice Address - Street 1:808 MOSS CREEK PLANTATION
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-5958
Practice Address - Country:US
Practice Address - Phone:678-799-6043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-17
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA89914207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine