Provider Demographics
NPI:1821461559
Name:SONNY GOEL MD LLC
Entity Type:Organization
Organization Name:SONNY GOEL MD LLC
Other - Org Name:GOEL VISION
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SANJAY
Authorized Official - Middle Name:DESH
Authorized Official - Last Name:GOEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-888-2020
Mailing Address - Street 1:1104 KENILWORTH DR STE 200
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-3103
Mailing Address - Country:US
Mailing Address - Phone:410-888-2020
Mailing Address - Fax:667-223-1712
Practice Address - Street 1:1104 KENILWORTH DR STE 200
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-3103
Practice Address - Country:US
Practice Address - Phone:410-888-2020
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-03
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty