Provider Demographics
NPI:1942339551
Name:GOYLE, ASHU KUMAR (DO)
Entity Type:Individual
Prefix:DR
First Name:ASHU
Middle Name:KUMAR
Last Name:GOYLE
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 1:7425 E SHEA BLVD STE 102
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-6411
Mailing Address - Country:US
Mailing Address - Phone:480-660-8823
Mailing Address - Fax:480-660-8801
Practice Address - Street 1:7425 E SHEA BLVD STE 102
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-6411
Practice Address - Country:US
Practice Address - Phone:480-660-8823
Practice Address - Fax:480-660-8801
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2021-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5095207LP2900X, 207L00000X, 207LP2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00727942OtherMEDICARE RAILROAD
AZ364241Medicaid
OH2744829Medicaid
AZZ124466Medicare PIN
P00727942OtherMEDICARE RAILROAD