Goyal, Pankaj Rai

Goyal, Pankaj Rai is an sole proprietor health care provider with primary practice located at 7170 W Camino San Xavier Ste A101 , Glendale AZ 85308-0834. He recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is his primary health care specialty. Goyal, Pankaj Rai can be contacted via phone (623) 594-2057.

Contact Information

Primary practice address
7170 W Camino San Xavier Ste A101 Glendale AZ 85308-0834
Phone: (623) 594-2057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 20022 Ohio
Dental Providers / General Practice 1223G0001X D7043 Arizona

Profile Details

NPI number 1932173655
LBN Legal business name Goyal, Pankaj Rai
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 17th, 2006
Last updated Mar 17th, 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 1932173655 NPPES
Arizona MEDICAID 073407

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