Godbole, Shyamali V
Godbole, Shyamali V is an individual health care provider with primary practice located at 5501 Old York Rd Levy 2 West, Philadelphia PA 19141-3018. She recently has only one registered license in Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics, which is considered as her primary health care specialty. Godbole, Shyamali V can be contacted via phone (215) 456-6959.Contact Information
Primary practice address
5501 Old York Rd Levy 2 West
Philadelphia PA 19141-3018
Phone: (215) 456-6959
Fax: (215) 456-2356
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X | MD053000L | Pennsylvania |
Profile Details
| NPI number | 1073659272 |
|---|---|
| LBN Legal business name | Godbole, Shyamali V |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 29th, 2007 |
| Last updated | Aug 3rd, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073659272 | NPPES |
| Pennsylvania | MEDICAID | 001474726 |
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