Individual
DR. PANNA U GOSWAMI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1604 VISA DR STE 1, NORMAL, IL 61761-2195
(815) 846-4716
(309) 323-0442
Mailing address
1604 VISA DR STE 1, NORMAL, IL 61761-2195
(815) 762-2535
(815) 758-5144
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
036061013
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036-061013
—
IL
Enumeration date
09/12/2005
Last updated
06/01/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us