Individual
SHREA GOSWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 RILEY HOSPITAL DR, INDIANAPOLIS, IN 46202-5109
(317) 944-2563
Mailing address
PO BOX 778912, CHICAGO, IL 60677-8912
(317) 777-6435
(317) 777-6910
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
01086207A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
03/23/2018
Last updated
08/05/2025
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