Individual
YAMINI GOSWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1619
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6076
(602) 263-1619
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3221
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
967979
—
AZ
01
—
AZ0196470
BCBSAZ
AZ
Enumeration date
10/03/2006
Last updated
03/17/2026
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