Dr Deepshikha Goyal, MD | |
14139 Potomac Mills Road, Woodbridge, VA 22192 | |
(703) 490-8400 | |
(703) 490-7635 |
Full Name | Dr Deepshikha Goyal |
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Gender | Female |
Speciality | Pediatrics |
Location | 14139 Potomac Mills Road, Woodbridge, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265577753 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 0101057775 (Virginia) | Primary |
Entity Name | Kaiser Foundation Health Plan Of The Mid-atlantic States, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1861552721 PECOS PAC ID: 3779495858 Enrollment ID: O20031105000744 |
Mailing Address | Practice Location Address |
---|---|
Dr Deepshikha Goyal, MD 2101 East Jefferson Street, Kaiser Permanente Ppqa 6 West, Rockville, MD 20852 Ph: (301) 816-6660 | Dr Deepshikha Goyal, MD 14139 Potomac Mills Road, Woodbridge, VA 22192 Ph: (703) 490-8400 |
Paula A Labriola, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647 | |
Dr. Lisa A Pauls, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14139 Potomac Mills Road, Woodbridge, VA 22192 Phone: 703-490-7747 Fax: 703-490-7650 | |
Joseph V Puglise, MD Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647 | |
Azka Sophie, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-8400 | |
Jocelyn D Trent, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2296 Opitz Blvd, Suite 403, Woodbridge, VA 22191 Phone: 703-878-2233 Fax: 703-878-2254 | |
Frances Marie Vega, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 1924 Opitz Blvd, Woodbridge, VA 22191 Phone: 703-494-1144 Fax: 703-494-5647 | |
Erica Larae Wynn, M.D. Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 14139 Potomac Mills Rd, Woodbridge, VA 22192 Phone: 703-490-7740 |