Provider Demographics
NPI:1447370036
Name:GOEL, RENU (MD)
Entity type:Individual
Prefix:DR
First Name:RENU
Middle Name:
Last Name:GOEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1143-B EXECUTIVE CIR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27511-4571
Mailing Address - Country:US
Mailing Address - Phone:919-465-1443
Mailing Address - Fax:919-465-1366
Practice Address - Street 1:1143-B EXECUTIVE CIRCLE
Practice Address - Street 2:SUITE 102
Practice Address - City:CARY
Practice Address - State:NC
Practice Address - Zip Code:27511-4437
Practice Address - Country:US
Practice Address - Phone:919-465-1443
Practice Address - Fax:919-465-1366
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2009-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC98012852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC130N5OtherBCBSNC PROVIDER NUMBER