Godiali, Vasso G

Godiali, Vasso G is an individual health care provider with primary practice located at 2010 15Th St , Bay City MI 48708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Godiali, Vasso G can be contacted via phone (989) 893-8361.

Contact Information

Primary practice address
2010 15Th St Bay City MI 48708
Phone: (989) 893-8361
Fax: (989) 893-3528
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X VG065556 Michigan

Profile Details

NPI number 1861572000
LBN Legal business name Godiali, Vasso G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Aug 3rd, 2011 - about 15 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 1861572000 NPPES
Michigan Other 11277067 CAQH
Michigan Other 0200910161 CAQH
Michigan MEDICAID 4540351 CAQH

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