Goli, Anil K

Goli, Anil K is an individual health care provider with primary practice located at 2501 Jimmy Johnson Blvd Ste 406 , Port Arthur TX 77640-2013. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Goli, Anil K can be contacted via phone (409) 548-4761.

Contact Information

Primary practice address
2501 Jimmy Johnson Blvd Ste 406 Port Arthur TX 77640-2013
Phone: (409) 548-4761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 36560 Tennessee
Other Service Providers / Specialist 174400000X MD36560 Tennessee
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X N7264 Texas

Profile Details

NPI number 1629013008
LBN Legal business name Goli, Anil K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 18th, 2006
Last updated Mar 12th, 2015 - about 10 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 1629013008 NPPES
Tennessee MEDICAID 3889565

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