Provider Demographics
NPI:1063695658
Name:GOYAL, RAJAN (MD)
Entity type:Individual
Prefix:DR
First Name:RAJAN
Middle Name:
Last Name:GOYAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5531 BUSINESS PARK S STE 201A
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-1668
Mailing Address - Country:US
Mailing Address - Phone:661-371-3170
Mailing Address - Fax:661-371-3169
Practice Address - Street 1:5531 BUSINESS PARK S STE 201A
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-1668
Practice Address - Country:US
Practice Address - Phone:661-371-3170
Practice Address - Fax:661-371-3169
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA139406207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1063695658Medicaid
AR187914001Medicaid
MO431560263OtherTRICARE
MOP00985997OtherRR MCR
MO1063695658Medicaid