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Individual

NILESH J GOSWAMI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
50 HILLCREST MEDICAL BLVD STE 102, SUITE 303, WACO, TX 76712
(254) 202-0480
Mailing address
PO BOX 844658, DALLAS, TX 75284-4658
(979) 691-3300

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
T3088
TX
207RI0011X
Interventional Cardiology Physician
Primary
T3088
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00034820
RAILROAD
IL
05
036096552
IL
Enumeration date
10/19/2006
Last updated
11/20/2025
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