Provider Demographics
NPI:1346297918
Name:GOSWAMI, ALPANA (MD)
Entity Type:Individual
Prefix:MRS
First Name:ALPANA
Middle Name:
Last Name:GOSWAMI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10622 ALLOWAY DR
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-1600
Mailing Address - Country:US
Mailing Address - Phone:301-765-8026
Mailing Address - Fax:
Practice Address - Street 1:11125 ROCKVILLE PIKE
Practice Address - Street 2:SUITE #110
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3142
Practice Address - Country:US
Practice Address - Phone:301-984-3100
Practice Address - Fax:301-984-3130
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2013-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0027660207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD372841200Medicaid
MD372841200Medicaid
433403Medicare PIN