Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 45559-020 | WI |
Y | 111NI0900X | Internist | 45559-020 | WI |
N | 207RA0401X | Internist - Addiction Medicine | 45559-020 | WI |
NPI | 1487634036 |
---|---|
Provider Name | Dr. Alok Goyal |
First Address | Greendale, WI 53129-2452 |
Second Address | Milwaukee, WI 53222-5003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2006 |
Last Update Date | 15/05/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
34373800 | (05) | WI |
H85831 | (02) | WI |