Goud, Aditya R
Goud, Aditya R is an sole proprietor health care provider with primary practice located at 2082 Mesquite Ave Ste 100A , Lake Havasu City AZ 86403-6710. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Interventional Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Goud, Aditya R can be contacted via phone (928) 453-2727.Contact Information
Primary practice address
2082 Mesquite Ave Ste 100A
Lake Havasu City AZ 86403-6710
Phone: (928) 453-2727
Fax: (928) 453-2828
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | 62285 | Arizona |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 62285 | Arizona |
Profile Details
| NPI number | 1073929550 |
|---|---|
| LBN Legal business name | Goud, Aditya R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 7th, 2014 |
| Last updated | Jun 24th, 2021 - about 3 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 | 1073929550 | NPPES |
| Arizona | MEDICAID | 092161 |
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