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:
Health care specialties
| Specialty | Code | License # | 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 4 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 | 1326324609 | NPPES |
| Illinois | MEDICAID | ENROLLED |
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