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Individual
DR. VARDHANA GOSWAMI
Active
Individual
DR. VARDHANA GOSWAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD066830-L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD066830-L
PA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
MD066830L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017871400003
—
PA
01
—
0769994000
INDEPENDENCE BLUE CROSS
PA
01
—
110237110
RAILROAD MEDICARE
PA
01
—
30000892
KEYSTONE MERCY
PA
01
—
348423
HIGHMARK BLUE SHIELD
PA
01
—
7951311
AETNA
PA
Enumeration date
07/01/2006
Last updated
02/25/2026
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