Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35037416 | OH |
NPI | 1003818998 |
---|---|
Provider Name | Chit-Guan Goh |
First Address | Maumee, OH 43537-1745 |
Second Address | Maumee, OH 43537-1745 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/08/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000141242 | ANTHEM (01) | OH |
00013 | PARAMOUNT (01) | OH |
0292928 | (05) | OH |
0633993 | AETNA (01) | OH |
12-01239 | UHC (01) | OH |
G14419 | (02) | OH |