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SHASHI JAIN GOEL MD PC INC NPI 1083770515


NPI Information

NPI: 1083770515
Provider Name: SHASHI JAIN GOEL MD PC INC
Classification: Internal Medicine - 207R00000X
Entity Type: Organization

CLIA Number: 03D0991728

Address:
2040 W BETHANY HOME RD
SUITE #105
PHOENIX, AZ
ZIP 85015
Phone: (602) 242-7500
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SHASHI JAIN GOEL MD PC INC is an internal medicine in Phoenix, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SHASHI JAIN GOEL MD PC INC NPI is 1083770515. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2040 W BETHANY HOME RD
SUITE #105
PHOENIX, AZ
ZIP 85015-445
Phone: (602) 242-7500
Fax: (602) 433-2644

The provider's authorized official is Shashi Jain Goel .
The authorized official title is President and has the following contact phone number (602) 242-7500.

The CLIA number assigned to this NPI record is 03D0991728 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/29/2006 and was last updated on 4/5/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal Medicine24977ARIZONAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1F40314MEDICARE UPINARIZONA
2388026MEDICAIDARIZONA
3Z66355MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.