Goyal, Raj Kamal
Goyal, Raj Kamal is an sole proprietor health care provider with primary practice located at 7456 S State Rd Ste 302 , Bedford Park IL 60638-6625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Goyal, Raj Kamal can be contacted via phone (773) 873-0052.Contact Information
Primary practice address
7456 S State Rd Ste 302
Bedford Park IL 60638-6625
Phone: (773) 873-0052
Fax: (773) 873-0054
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 036106534 | Illinois |
Profile Details
NPI number | 1699768721 |
---|---|
LBN Legal business name | Goyal, Raj Kamal |
Credentials | M.D., M.P.H. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 24th, 2005 |
Last updated | Dec 16th, 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 | 1699768721 | NPPES |
Illinois | MEDICAID | 036106534 |
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