Agarwal, Poonam Goyal

Agarwal, Poonam Goyal is an individual health care provider with primary practice located at 4104 W 15Th St Suite 201, Plano TX 75093-5860. She recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as her primary health care specialty. Agarwal, Poonam Goyal can be contacted via phone (972) 596-9200.

Contact Information

Primary practice address
4104 W 15Th St Suite 201 Plano TX 75093-5860
Fax: (972) 596-9206
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X K9006 Texas

Profile Details

NPI number 1861455446
LBN Legal business name Agarwal, Poonam Goyal
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 6th, 2006
Last updated Feb 13th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861455446 NPPES
Texas MEDICAID 104608806

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