Supriya Goyal (NPI# 1477518975, PAC ID# 0042280059) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is OPHTHALMOLOGY.
| Nation Provider ID (NPI) | 1477518975 |
| PAC ID by PECOS | 0042280059 |
| Professional Enrollment ID | I20190226002281 |
| Full Name | Supriya Goyal |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Address |
7670 Quarterfield Rd Glen Burnie MD 21061-3947 |
| Phone Number | 4105087650 |
| Gender | F |
| Credential | MD |
| Graduation Year | 1996 |
| Primary Specialty | OPHTHALMOLOGY |
| Group Practice PAC ID | 3779495858 |
| Number of Group Practice Members | 1669 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 | 4105087650 | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Organization Legal Name | KAISER FOUNDATION HEALTH PLAN OF THE MID-ATLANTIC STATES INC |
| Physicians | 1965 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Joon Young Jang | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 |
| Lytia Fisher | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7141 Security Blvd, Woodlawn Med Ctr, Baltimore, MD 21244-1811 |
| Tomika Coleman | Podiatry | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 1701 Twin Springs Rd, Halethorpe, MD 21227-3553 |
| Juliana Llano | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 6525 Belcrest Rd, Hyattsville, MD 20782-2003 |
| Roxanne C Orion | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 12201 Plum Orchard Dr, Silver Spring, MD 20904-7803 |
| Keith M Egan | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 2301 M St Nw, Washington, DC 20037-1427 |
| James Ritchie Jezior | Urology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 12255 Fair Lakes Pkwy, Fairfax, VA 22033-3952 |
| David Leng | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 43480 Yukon Dr, Suite 100, Ashburn, VA 20147-6988 |
| Camille B Madison | Emergency Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 4920 Campbell Rd, White Marsh, MD 21236 |
| Nevi Patel | Internal Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 655 Watkins Mill Rd, Gaithersburg, MD 20879-3301 |
| Street Address |
7670 QUARTERFIELD RD |
| City | GLEN BURNIE |
| State | MD |
| Zip | 21061-3947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| David Joon Young Jang | Family Medicine | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 |
| Brittany M Paivanas | Obstetrics/gynecology | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 |
| Geanine Calfo | Registered Dietitian Or Nutrition Professional | Kaiser Foundation Health Plan of The Mid-atlantic States Inc | 7670 Quarterfield Rd, Glen Burnie, MD 21061-3947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Deep Hasmukh Dalal | Rheumatology | 1406 B S Crain Hwy 207, Glen Burnie, MD 21061 | |
| Samantha Villanueva | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Chinasa Onyeje | Nurse Practitioner | Minute Clinic LLC | 7095 Baltimore Annapolis Blvd, Glen Burnie, MD 21061-1431 |
| Carmen Negron-wagman | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Leanne Mckoy | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| John Ohlhaver | Physical Therapy | Ati Holdings LLC | 7081 -7083 Baltimore Annapolis Blvd, Ati Physical Therapy, Glen Burnie, MD 21061-1431 |
| Shawn Marie Wallace | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Nadia Koran Krause | Nurse Practitioner | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Suite B, Glen Burnie, MD 21061-2593 |
| Richard P Campbell | Physician Assistant | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Karen Ann Cousins Brown | Geriatric Medicine | Mdics Rehabilitative Services LLC | 6934 Aviation Blvd, Glen Burnie, MD 21061-2593 |
| Find all physicians in zip 21061 | |||
| City | GLEN BURNIE |
| Zip Code | 21061 |
| Specialty | OPHTHALMOLOGY |
| City + Specialty | GLEN BURNIE + OPHTHALMOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.