Goswami, Sushanta K.

Goswami, Sushanta K. is an individual health care provider with primary practice located at 85 Ih 10 N Ste 112 , Beaumont TX 77707-2560. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Goswami, Sushanta K. can be contacted via phone (409) 239-5139.

Contact Information

Primary practice address
85 Ih 10 N Ste 112 Beaumont TX 77707-2560
Phone: (409) 239-5139
Fax: (409) 730-8055
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD00038023 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X R30091 Texas
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD27500 Oklahoma
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X R3091 Texas

Profile Details

NPI number 1366548547
LBN Legal business name Goswami, Sushanta K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 15th, 2006
Last updated Mar 22nd, 2022 - about 2 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 1366548547 NPPES
Washington Other 0170996 L & I
Washington MEDICAID 8290819 L & I
Washington Other 8902519 L & I
Washington Other P00049522 L & I

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