Samita Sally Goyal
Surgeon Plastic and Reconstructive Surgery
3960 Stillman Pkwy
Glen Allen
, Virginia 23060-4197
Samita Sally Goyal
Surgeon Plastic and Reconstructive Surgery
3960 Stillman Pkwy
Glen Allen
, Virginia 23060-4197
(703) 626-6165
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About
Features
Specialties
- Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Samita Sally Goyal
- 6500 Miller Dr
- Alexandria, VA
- Zip : 22315-3528
- Phone : (703) 626-6165
Second Address
- Samita Sally Goyal
- 3960 Stillman Pkwy
- Glen Allen, VA
- Zip : 23060-4197
- Phone : (804) 270-3333
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | 61439 | WI |
| N | 208600000X | Surgeon | 61439 | WI |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | 0101266133 | VA |
National Provider Identifier
| NPI | 1043577190 |
|---|---|
| Provider Name | Samita Sally Goyal |
| First Address | Alexandria, VA 22315-3528 |
| Second Address | Glen Allen, VA 23060-4197 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/04/2012 |
| Last Update Date | 11/11/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1043577190 | (05) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.