Provider Demographics
NPI:1013135003
Name:GOYAL-SHOCKLEY, NILUFER RAJ (MD)
Entity Type:Individual
Prefix:
First Name:NILUFER
Middle Name:RAJ
Last Name:GOYAL-SHOCKLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NILUFER
Other - Middle Name:RAJ
Other - Last Name:GOYAL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:889 E DARTMOUTH DR
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93730-0613
Mailing Address - Country:US
Mailing Address - Phone:559-288-7759
Mailing Address - Fax:559-288-7759
Practice Address - Street 1:7300 N FRESNO ST
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-2942
Practice Address - Country:US
Practice Address - Phone:559-448-4500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2023-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD432037208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics