Individual provider · Type 1 NPI

Carlos Rodrigo Goulart, MD

Student in an Organized Health Care Education/Training Program · New Haven, CT

NPI number 1104208305 Active

Practice location

20 York St
New Haven, CT 06510-3220

Other practice locations

  • 400 E 3rd St, Duluth, MN 55805-1951 · (218) 786-8364

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician 207T00000X69482 (MN)
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1104208305

Carlos Rodrigo Goulart, MD's National Provider Identifier is 1104208305, issued on Jun 24, 2015. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in New Haven, CT. The record was last updated on May 23, 2026.