Provider Demographics
NPI:1841591229
Name:GOEL, SHIV KUMAR (MD)
Entity Type:Individual
Prefix:DR
First Name:SHIV
Middle Name:KUMAR
Last Name:GOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:17714 HILLSEDGE
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78257-5077
Mailing Address - Country:US
Mailing Address - Phone:210-852-1871
Mailing Address - Fax:210-783-8880
Practice Address - Street 1:10007 HUEBNER RD STE 302
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78240-1646
Practice Address - Country:US
Practice Address - Phone:210-852-1871
Practice Address - Fax:210-783-8880
Is Sole Proprietor?:No
Enumeration Date:2010-11-16
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXN7092207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX96337670024OtherVISA
TXN7092OtherTEXAS LICENSE