Goyal, Ajay Kumar

Goyal, Ajay Kumar is an sole proprietor health care provider with primary practice located at 2011 S 25Th St Suite 106, Fort Pierce FL 34947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Goyal, Ajay Kumar can be contacted via phone (772) 468-7020.

Contact Information

Primary practice address
2011 S 25Th St Suite 106 Fort Pierce FL 34947
Fax: (772) 468-7698
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X ME74489 Florida

Profile Details

NPI number 1689786774
LBN Legal business name Goyal, Ajay Kumar
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Sep 18th, 2012 - about 13 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 1689786774 NPPES
Florida MEDICAID 254137800

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