Goli, Sujatha A
Goli, Sujatha A is an sole proprietor health care provider with primary practice located at 2501 Jimmy Johnson Blvd Ste 406 , Port Arthur TX 77640-2013. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Sleep Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Goli, Sujatha A 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:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | Q1822 | Texas |
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | Q1822 | Texas |
| Allopathic & Osteopathic Physicians / Sleep Medicine | 207RS0012X | Q1822 | Texas |
Profile Details
| NPI number | 1790721645 |
|---|---|
| LBN Legal business name | Goli, Sujatha A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 21st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790721645 | NPPES |
| Texas | Other | Q1822 | TEXAS MEDICAL LICENSE |
| Texas | MEDICAID | 3333817 | TEXAS MEDICAL LICENSE |
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