Individual
DR. AVISHEK GOSWAMI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7201 W GRANDRIDGE BLVD, KENNEWICK, WA 99336-6709
(509) 221-5520
(509) 221-5520
Mailing address
111 SANDRA MURAIDA WAY UNIT 15H, AUSTIN, TX 78703-5091
(408) 883-0268
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MDRE.ML.61684514
WA
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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