Venkateswara Rao Goli, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

19722 Issued in KY

Practice address

200 Medical Center Dr
Ste 3P
Hazard, KY 41701-9478

Phone

(606) 439-3334

Fax

(606) 439-3334

NPI assigned

Jun 24, 2005

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326044264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "STE 3P",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019478",
            "telephone_number": "606-439-3334",
            "fax_number": "606-439-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 MEDICAL CENTER DR",
            "address_2": "STE 3P",
            "city": "HAZARD",
            "state": "KY",
            "postal_code": "417019478",
            "telephone_number": "606-439-3334",
            "fax_number": "606-439-3334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLI",
        "first_name": "VENKATESWARA",
        "middle_name": "RAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "19722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64197221",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew C Gilbert
• Nellie Gilliam
• Kristy Godsey, APRN
• Angela Goins
• Kelly Denise Goins, PA-C
• Keisha Diane Good
• Amy Goodson, PH.D.
• Kundan Gorikapudi, M.B.B.S
• Kevin Govani, MD
• Randall Grace

• Specialist in Hazard, KY
• Providers in Hazard, KY by specialty
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.