Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RA0401X | Internist - Addiction Medicine | 29699 | NC |
NPI | 1295819993 |
---|---|
Provider Name | Veeraindar Goli |
First Address | Raleigh, NC 27614-8510 |
Second Address | Durham, NC 27710 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 02/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
8936103 | (05) | NC |
C84106 | (02) |