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Shashi Jain Goel

Internal Medicine

Allopathic & Osteopathic Physicians

2040 W Bethany Home Rd, Suite 105, Phoenix, AZ 85015-2445

PECOS Enrollment

This provider is enrolled in PECOS as SHASHI GOEL.

Based on the most recent information from CMS, provider Shashi Jain Goel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1164421426
Provider Type
Individual
Full Name
Goel, Shashi Jain
Credential
MD PC INC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
7/19/2005
Last Updated
1/27/2023

Contact Information

Practice Location

2040 W Bethany Home Rd, Suite 105, Phoenix, AZ 85015-2445

(602) 242-7500

(602) 433-2644

Mailing Location

2040 W Bethany Home Rd, Suite 105, Phoenix, AZ 85015-2445

(602) 242-7500

(602) 433-2644

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 24977 Arizona

Provider Identifiers

ID	Description	Issuer
ID 388026	Description Medicaid	Issuer Unlisted Arizona

Shashi Jain Goel

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Provider Identifiers

ID

Description

Issuer

ID

Description

Issuer

Hospitalist Medicine Physicians Of Arizona -Tcg, Inc.

Solomon Amdemariam Llc

Adickman, Michael David

Levy, Kenneth I

Ashwin R Patel Md Pllc

Geriatric Specialties Of Arizona Pc

Dubnow, Morton H

Shashi Jain Goel Md Pc Inc

Patel, Ashwin R

Pretlow, William Woods