Goswami, Jaya

Goswami, Jaya is an individual health care provider with primary practice located at 13515 Tivoli Lake Blvd , Silver Spring MD 20906-6722. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Goswami, Jaya can be contacted via phone (716) 400-4788.

Contact Information

Primary practice address
13515 Tivoli Lake Blvd Silver Spring MD 20906-6722
Phone: (716) 400-4788
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Infectious Diseases 2080P0208X MD469416 Pennsylvania
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD469416 Pennsylvania

Profile Details

NPI number 1326324609
LBN Legal business name Goswami, Jaya
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 31st, 2011
Last updated Feb 1st, 2021 - about 3 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326324609 NPPES
Illinois MEDICAID ENROLLED

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