Provider Demographics
NPI:1205069762
Name:GOEL, MAHESH C (MD)
Entity type:Individual
Prefix:DR
First Name:MAHESH
Middle Name:C
Last Name:GOEL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:13502 FLINTRIDGE PASS
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033-9588
Mailing Address - Country:US
Mailing Address - Phone:317-697-9470
Mailing Address - Fax:
Practice Address - Street 1:13502 FLINTRIDGE PASS
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033-9588
Practice Address - Country:US
Practice Address - Phone:317-697-9470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-01
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01065617A204F00000X, 208600000X, 208800000X, 2088P0231X, 2086S0129X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
No204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
No208600000XAllopathic & Osteopathic PhysiciansSurgery
No2088P0231XAllopathic & Osteopathic PhysiciansUrologyPediatric Urology
No2086S0129XAllopathic & Osteopathic PhysiciansSurgeryVascular Surgery