Provider Demographics
NPI:1447256912
Name:GOH, KEOW MEI (MD)
Entity type:Individual
Prefix:
First Name:KEOW
Middle Name:MEI
Last Name:GOH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3621 SOUTH STATE STREET
Mailing Address - Street 2:700 KMS PLACE
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108
Mailing Address - Country:US
Mailing Address - Phone:734-936-2047
Mailing Address - Fax:
Practice Address - Street 1:1500 EAST MEDICAL CENTER DRIVE
Practice Address - Street 2:2ND FLOOR TAUBMAN CENTER RECP C
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48109-5330
Practice Address - Country:US
Practice Address - Phone:734-936-7030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-06-21
Last Update Date:2017-01-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MIKG061769208800000X
MI4301061769208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI340H110900OtherBCBSM
MI127816OtherCARE CHOICES
MI340H110900OtherBLUE CARE NETWORK
MI4192220Medicaid
MI127816OtherPREFERRED CHOICES
MI002147OtherMIDWEST
MI340018608OtherRR MEDICARE UNITED HEALTH
MI002147OtherMIDWEST
MI002147OtherMIDWEST