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Contact Information

ELI N GOODMAN, MD
6600 NORTHSIDE HIGH SCHOOL RD
ROANOKE, VA24019-2825
 Phone: 540-561-6615
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
Indicates primary specialty

NPI Profile & details for ELI N GOODMAN · (Male)

NPI # 1619212149
Status Active
Credentials MD
Entity Individual
Enumeration date 12/10/2012
Last updated 06/08/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • CA License # A117798
  • VA License # 0101255858
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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