Individual
DR. DURGA PRATHYUSHA GOSWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1638 OWEN DR, FAYETTEVILLE, NC 28304-3424
(910) 615-7392
(910) 615-7633
Mailing address
2100 STANTONSBURG RD, GREENVILLE, NC 27834-2818
(252) 744-4560
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2021-01526
NC
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2021-01526
NC
207RN0300X
Nephrology Physician
2021-01526
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/19/2018
Last updated
03/03/2026
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