Organization
RAVINDER GOSWAMI LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDER GOSWAMI M.D (OWNER)
(816) 569-0563
Entity
Organization
Contact information
Practice address
1080 NW SOUTH OUTER RD, BLUE SPRINGS, MO 64015-3087
(816) 228-5335
Mailing address
5311 NW 60TH ST, KANSAS CITY, MO 64151-4381
(816) 569-0563
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2009024411
MO
310400000X
Assisted Living Facility
0435222
KS
310400000X
Assisted Living Facility
2009024411
MO
3104A0625X
Assisted Living Facility (Mental Illness)
0435222
KS
314000000X
Skilled Nursing Facility
0435222
KS
314000000X
Skilled Nursing Facility
2009024411
MO
Other
Enumeration date
07/24/2012
Last updated
07/24/2012
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