Individual
MR. NABA GOSWAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
109 PLAZA DR, ST CLAIRSVILLE, OH 43950
(740) 695-2609
(740) 695-2877
Mailing address
PO BOX 6230, WHEELING, WV 26003-0722
(740) 695-2609
(740) 695-2877
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35069006
OH
207RC0000X
Cardiovascular Disease Physician
35069006
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0948149
—
OH
01
—
110141077
RAILROAD MEDICARE
OH
Enumeration date
12/12/2006
Last updated
03/18/2014
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