Provider Demographics
NPI:1447377270
Name:GOYAL, ARVIND KUMAR (MD)
Entity type:Individual
Prefix:DR
First Name:ARVIND
Middle Name:KUMAR
Last Name:GOYAL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3433 KIRCHOFF RD
Mailing Address - Street 2:
Mailing Address - City:ROLLING MEADOWS
Mailing Address - State:IL
Mailing Address - Zip Code:60008-1842
Mailing Address - Country:US
Mailing Address - Phone:847-255-0095
Mailing Address - Fax:847-255-0559
Practice Address - Street 1:3433 KIRCHOFF RD
Practice Address - Street 2:
Practice Address - City:ROLLING MEADOWS
Practice Address - State:IL
Practice Address - Zip Code:60008-1842
Practice Address - Country:US
Practice Address - Phone:847-255-0095
Practice Address - Fax:847-255-0559
Is Sole Proprietor?:No
Enumeration Date:2007-03-25
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X, 207QG0300X, 2083P0901X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Not Answered2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL495010Medicare ID - Type UnspecifiedMEDICARE PROVIDER NUMBER
ILD13197Medicare UPIN