Provider Demographics
NPI:1013531292
Name:GOEL, SIDDHARTH (MD)
Entity type:Individual
Prefix:MR
First Name:SIDDHARTH
Middle Name:
Last Name:GOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 S FRONT ST UPMC PINNACLE, INTERNAL MEDICINE RESIDEN
Mailing Address - Street 2:SUITE 3C
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104
Mailing Address - Country:US
Mailing Address - Phone:717-231-8506
Mailing Address - Fax:717-231-8535
Practice Address - Street 1:205 S FRONT ST UPMC PINNACLE, INTERNAL MEDICINE RESIDEN
Practice Address - Street 2:SUITE 3C
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17104
Practice Address - Country:US
Practice Address - Phone:717-231-8506
Practice Address - Fax:717-231-8535
Is Sole Proprietor?:No
Enumeration Date:2020-06-03
Last Update Date:2022-02-08
Deactivation Date:2022-01-18
Deactivation Code:
Reactivation Date:2022-02-08
Provider Licenses
StateLicense IDTaxonomies
PAMT220746207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine