Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0000X | Hematologist | 46146 | KY |
N | 207RX0202X | Medical Oncology | 46146 | KY |
NPI | 1265401343 |
---|---|
Provider Name | Dr. Amit Goldberg |
First Address | Paducah, KY 42003-3813 |
Second Address | Paducah, KY 42003-3813 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2006 |
Last Update Date | 02/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02638815 | (05) | NY |
I32498 | (02) | NY |