| NPI | 1982936126 |
|---|---|
| Doing Business As | GOODMAN MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | SUNIL MALHOTRA Owner / Physician 662-536-3330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MS 14796) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MS 14652) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MS 80187) | |
| Enumeration Date | 2010-02-12 |
| Last Update Date | 2014-06-09 |