Goswami, Ajanta
Goswami, Ajanta is an individual health care provider with primary practice located at 3620 W White River Blvd , Muncie IN 47304-4286. She recently has only one registered license in Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry, which is considered as her primary health care specialty. Goswami, Ajanta can be contacted via phone (765) 288-1928.Contact Information
Primary practice address
3620 W White River Blvd
Muncie IN 47304-4286
Phone: (765) 288-1928
Fax: (765) 288-2032
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Child & Adolescent Psychiatry | 2084P0804X | 01050577 | Indiana |
Profile Details
| NPI number | 1407820392 |
|---|---|
| LBN Legal business name | Goswami, Ajanta |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 15th, 2006 |
| Last updated | Sep 8th, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407820392 | NPPES |
| Indiana | MEDICAID | 200237850 |
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