PRADEEP GOYAL (NPI# 1699054601) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1699054601 |
Entity Type | Individual |
Full Name | PRADEEP GOYAL |
Credential | M.D., |
Practice Address |
2800 Main Street Department of Radiology Bridgeport CT 06606 |
Mailing Address |
2800 Main St Department of Radiology Bridgeport CT 06606-4201 |
Practice Telephone | 4752105533 |
Practice Fax Number | 4752106513 |
Mailing Telephone | 4752105533 |
Mailing Fax Number | 4752106513 |
Enumeration Date | 2011-08-08 |
Last Update Date | 2016-12-08 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
1.055285 | CT | Allopathic & Osteopathic Physicians |
Street Address |
2800 MAIN STREET DEPARTMENT OF RADIOLOGY |
City | BRIDGEPORT |
State | CT |
Zip Code | 06606 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285610527 | Cheryl Mullins-helt | Nurse Anesthetist, Certified Registered | 2800 Main Street, St Vincents Medical Center, Bridgeport, CT 06606 | 2005-12-19 |
1487277620 | Maria Del Pilar Morel | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2020-05-22 |
1760004717 | Saumya Batra | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2020-05-13 |
1548880586 | Sergio Reyes Salcedo | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2020-04-20 |
1497384796 | Andrew Johnston | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Dept of Medicine, Bridgeport, CT 06606 | 2020-04-07 |
1497384853 | Kingsley Ikenna Onuoha | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606-4201 | 2020-04-07 |
1457980997 | Victoria Podsiadlo | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
1831752302 | Xuechun Zhao | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
1295398782 | Julia Katherina Kostka | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
1922661412 | Federico Andres Delgado Hernandez | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
Find all providers in zip 06606 |
Taxonomy Code | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811982416 | Gerald Micalizzi | Radiology | 558 Fairview Ave, Bridgeport, CT 06606-4501 | 2005-09-20 |
1366447302 | Paul A. Aiello | Radiology | 4699 Main St, Bridgeport, CT 06606-1830 | 2005-06-16 |
1487043931 | Komal Sharma | Radiology | 2800 Main St, Bridgeport, CT 06606-4292 | 2015-01-21 |
1134553555 | Kusum Hooda | Radiology | 267 Grant St, Bridgeport, CT 06610 | 2013-08-22 |
1588917918 | Kathleen Mary Orazietti | Radiology | 2660 Main Street, Suite 103, Bridgeport, CT 06606 | 2012-10-23 |
1043453368 | Josephina Anna Vossen | Radiology | 267 Grant St, Bridgeport, CT 06610-2805 | 2009-04-16 |
1447467501 | Robert Toffler | Radiology | 2660 Main St, Bridgeport, CT 06606-5369 | 2007-05-17 |
1477504942 | Fairfield County Radiology | Radiology | 2800 Main Street, Bridgeport, CT 06610 | 2006-05-12 |
1497732291 | Fairfield County Imaging | Radiology | 3101 Main St, Bridgeport, CT 06610 | 2005-12-22 |
1548246317 | Fairfield County Imaging | Radiology | 2800 Main St, Bridgeport, CT 06606-4201 | 2005-12-22 |
Find all providers in BRIDGEPORT |
City | BRIDGEPORT |
Zip Code | 06606 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.