Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207Y00000X | Otolaryngologist (ENT Doctor) | MD454360 | PA |
N | 207YX0007X | Plastic Surgeon (Head & Neck) | MD454360 | PA |
NPI | 1003040882 |
---|---|
Provider Name | Neerav Goyal |
First Address | Hershey, PA 17033-2360 |
Second Address | Hershey, PA 17033-2360 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/05/2009 |
Last Update Date | 15/11/2020 |