Basic Information
| Provider Information | |||||||||
| NPI: | 1013531292 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | GOEL | ||||||||
| FirstName: | SIDDHARTH | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 205 S FRONT ST UPMC PINNACLE, INTERNAL MEDICINE RESIDEN | ||||||||
| Address2: | SUITE 3C | ||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172318506 | ||||||||
| FaxNumber: | 7172318535 | ||||||||
| Practice Location | |||||||||
| Address1: | 205 S FRONT ST UPMC PINNACLE, INTERNAL MEDICINE RESIDEN | ||||||||
| Address2: | SUITE 3C | ||||||||
| City: | HARRISBURG | ||||||||
| State: | PA | ||||||||
| PostalCode: | 17104 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7172318506 | ||||||||
| FaxNumber: | 7172318535 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/03/2020 | ||||||||
| LastUpdateDate: | 02/08/2022 | ||||||||
| NPIDeactivationReasonCode: | |||||||||
| NPIDeactivationDate: | 01/18/2022 | ||||||||
| NPIReactivationDate: | 02/08/2022 | ||||||||
| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 02/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207R00000X | MT220746 | PA | Y | Allopathic & Osteopathic Physicians | Internal Medicine |
No ID Information.