Provider Demographics
NPI:1487614707
Name:GOYAL, MAHEEP (MD)
Entity type:Individual
Prefix:
First Name:MAHEEP
Middle Name:
Last Name:GOYAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3520 PIEDMONT RD NE STE 250
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30305-1609
Mailing Address - Country:US
Mailing Address - Phone:404-870-2802
Mailing Address - Fax:404-419-6623
Practice Address - Street 1:240 MINGO RD
Practice Address - Street 2:
Practice Address - City:ROYERSFORD
Practice Address - State:PA
Practice Address - Zip Code:19468-3113
Practice Address - Country:US
Practice Address - Phone:610-792-1396
Practice Address - Fax:610-792-9396
Is Sole Proprietor?:No
Enumeration Date:2006-03-23
Last Update Date:2019-02-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY2274022085R0202X
PAMD046031L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology