Goel, Archana Gupta

Goel, Archana Gupta is an individual health care provider with primary practice located at 1660 Prudential Dr Suite 310, Jacksonville FL 32207-8197. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is her primary health care specialty. Goel, Archana Gupta can be contacted via phone (904) 396-8656.

Contact Information

Primary practice address
1660 Prudential Dr Suite 310 Jacksonville FL 32207-8197
Phone: (904) 396-8656
Fax: (904) 396-5931
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X ME73785 Florida
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X ME73785 Florida

Profile Details

NPI number 1215998513
LBN Legal business name Goel, Archana Gupta
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 28th, 2006
Last updated Dec 18th, 2018 - about 6 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 1215998513 NPPES
Georgia MEDICAID 000771493A
Georgia MEDICAID 2533359-00

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