Healthcare Provider Details

I. General information

NPI: 1013357508
Provider Name (Legal Business Name): VIKAS GOSWAMY M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/27/2013
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5010 S LE JEUNE RD
CORAL GABLES FL
33146-2209
US

IV. Provider business mailing address

5010 S LE JEUNE RD
CORAL GABLES FL
33146-2209
US

V. Phone/Fax

Practice location:
  • Phone: 516-808-8216
  • Fax: 786-227-5720
Mailing address:
  • Phone:
  • Fax: 786-227-5720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number291513
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number291513
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: