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Contact Information

RAJA S GOLI, MD
911 BYPASS RD BLDG A
PIKEVILLE, KY41501-1602
 Phone: 606-430-2209
 Fax: 606-218-7509
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
Indicates primary specialty

NPI Profile & details for RAJA S GOLI · (Male)

NPI # 1598719940
Status Active
Credentials MD
Entity Individual
Enumeration date 05/20/2006
Last updated 03/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 036.156192
  • KY License # 36241
  • MO License # 2021004418
  • TN License # 60521
  • TN Medicaid Q055952
  • MO Other 2021004418 LICENSE
Hospital affiliation(s)
  • PASSAVANT AREA HOSPITAL - (Acute Care)
    1600 W WALNUT ST
    JACKSONVILLE, IL 62650
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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