Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | A69512 | CA |
Y | 111NI0900X | Internist | A69512 | CA |
NPI | 1003804865 |
---|---|
Provider Name | Kiran Goyal |
First Address | Yuba City, CA 95992-1396 |
Second Address | Yuba City, CA 95991-6325 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/10/2005 |
Last Update Date | 01/07/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H51591 | (02) | CA |