Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 29055 | OK |
N | 207U00000X | Nuclear Medicine Specialist | MD441340 | PA |
N | 208D00000X | General Practice Physician | 262537 | NY |
N | 208D00000X | General Practice Physician | 29055 | OK |
NPI | 1639332893 |
---|---|
Provider Name | Sumina R Goel |
First Address | Muskogee, OK 74401-4915 |
Second Address | Muskogee, OK 74401-4915 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/07/2008 |
Last Update Date | 10/11/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
262537 | NY LICENSE (01) | NY |
29055 | LICENSE (01) | OK |