Godhwani, Sanjay

Godhwani, Sanjay is an individual health care provider with primary practice located at 6144 Route 25A Ste 13 , Wading River NY 11792-2008. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Rheumatology. Allopathic & Osteopathic Physicians / Rheumatology is his primary health care specialty. Godhwani, Sanjay can be contacted via phone (631) 886-2844.

Contact Information

Primary practice address
6144 Route 25A Ste 13 Wading River NY 11792-2008
Phone: (631) 886-2844
Fax: (631) 886-2842
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 266326 New York
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 266326 New York

Profile Details

NPI number 1174783567
LBN Legal business name Godhwani, Sanjay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2008
Last updated Mar 17th, 2018 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174783567 NPPES
New York MEDICAID 03497523

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