Provider Demographics
NPI:1841257557
Name:GOEL, TARUN (MD)
Entity type:Individual
Prefix:DR
First Name:TARUN
Middle Name:
Last Name:GOEL
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 1:25 OFFICE PARK DR
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013
Mailing Address - Country:US
Mailing Address - Phone:513-844-1000
Mailing Address - Fax:513-896-3727
Practice Address - Street 1:25 OFFICE PARK DR
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013
Practice Address - Country:US
Practice Address - Phone:513-844-1000
Practice Address - Fax:513-896-3727
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2011-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35045413208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
P00124659OtherRAILROAD MEDICARE
1702819OtherUNITED HEALTHCARE
KY64861875Medicaid
000000315662OtherANTHEM
OH0470762Medicaid
282547OtherAMERIGROUP
311474851027OtherCARESOURCE
IN200093820Medicaid
311474851OtherHUMANA
4026220OtherAETNA
4541310OtherHUMANA CHOICE CARE
4541311OtherHUMANA CHOICE CARE
OH0499678Medicare PIN
4541311OtherHUMANA CHOICE CARE
311474851OtherHUMANA
A80107Medicare UPIN
OH0499679Medicare PIN