Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0505X | Family Doctor - Adult Medicine | MA66454 | NJ |
NPI | 1003931767 |
---|---|
Provider Name | Dr. Niraj Govil |
First Address | Jb Andrews, MD 20762-6602 |
Second Address | Alexandria, VA 22303-1811 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 20/03/2007 |
Last Update Date | 12/11/2020 |