Individual ProviderAnsha GoelInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address3300 Gallows Rd, Inova Fairfax Medical Campus-Department Of Medicine, Np, Falls Church, VA 22042-3307(703) 776-7780(571) 423-5699PECOS EnrollmentBased on the most recent information from CMS, provider Ansha Goel is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1306295373Provider TypeIndividualFull NameGoel, AnshaTitleDr.CredentialM.D.GenderFemaleSole ProprietorNoEnumeration Date6/9/2016Last Updated9/2/2021Contact InformationPractice LocationPractice Address3300 Gallows Rd, Inova Fairfax Medical Campus-Department Of Medicine, Np, Falls Church, VA 22042-3307Phone(703) 776-7780FaxUnlisted FaxMailing LocationMailing AddressPO Box 37174, Baltimore, MD 21297-3174Phone(571) 423-5699Fax(571) 423-5698Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101264462VirginiaCode207RE0101XDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense0101264462VirginiaCode390200000XDescriptionStudent in an Organized Health Care Education/Training ProgramStudent, Health CareLicense0116029523Virginia