Provider Demographics
NPI:1861485344
Name:GOEL, RAJAT (MD)
Entity type:Individual
Prefix:
First Name:RAJAT
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:PO BOX 536003
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15253-5902
Mailing Address - Country:US
Mailing Address - Phone:800-475-6236
Mailing Address - Fax:843-497-9566
Practice Address - Street 1:100 S 2ND ST
Practice Address - Street 2:
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17101-2515
Practice Address - Country:US
Practice Address - Phone:800-475-6236
Practice Address - Fax:843-497-9566
Is Sole Proprietor?:No
Enumeration Date:2005-08-30
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD424001207ZC0500X, 207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZC0500XAllopathic & Osteopathic PhysiciansPathologyCytopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAP00138405OtherRAILROAD MEDICARE
PA1009778590002Medicaid
PA1009778590003Medicaid
PA1009778590003Medicaid
PAH90462Medicare UPIN