| Shashi Jain Goel Md Pc Inc | |
|
2040 W Bethany Home Rd Suite #105 Phoenix AZ 85015-2445 | |
| (602) 242-7500 | |
| (602) 433-2644 |
| Full Name | Shashi Jain Goel Md Pc Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 2040 W Bethany Home Rd, Phoenix, Arizona |
| Authorized Official Name and Position | Shashi Jain Goel (PRESIDENT) |
| Authorized Official Contact | 6022427500 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shashi Jain Goel Md Pc Inc 2040 W Bethany Home Rd Suite #105 Phoenix AZ 85015-2445 Ph: (602) 242-7500 | Shashi Jain Goel Md Pc Inc 2040 W Bethany Home Rd Suite #105 Phoenix AZ 85015-2445 Ph: (602) 242-7500 |
| NPI Number | 1083770515 |
|---|---|
| Provider Enumeration Date | 12/29/2006 |
| Last Update Date | 04/05/2017 |
| Medicare PECOS PAC ID | 7214923820 |
|---|---|
| Medicare Enrollment ID | O20040421000260 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083770515 | NPI | - | NPPES |
| 388026 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 24977 (Arizona) | Primary |
| Provider Name | Shashi Jain Goel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1164421426 PECOS PAC ID: 1355337973 Enrollment ID: I20070515000474 |
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